[False radiologic pneumoperitoneum. The value of emergency abdominal computed tomography].
We report 2 cases of false pneumoperitoneum. The diagnosis was suspected on an upright chest or abdominal plain films. The absence of clinical signs and symptoms of peritoneal irritation suggested a wrong radiological diagnosis. Emergency CT scan definitely eliminated a pneumoperitoneum and suggested the right diagnosis in both cases. This exam may play the decisive role in preventing needless emergency laparotomy.
Service de Chirurgie digestive, oncologique et générale, Hôpital Laennec, Paris.
M
M
Nseif
A
A
Berger
N
N
Bely
F
F
Zinzindohoue
C
C
Cellier
G
G
Frija
P
P
Cugnenc
D000368:Aged; D000369:Aged, 80 and over; D003106:Colon / Q000002:abnormalities / Q000000981:diagnostic imaging; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D008297:Male; D010538:Peritonitis / Q000175:diagnosis; D011027:Pneumoperitoneum / Q000000981:diagnostic imaging*; D001261:Pulmonary Atelectasis / Q000000981:diagnostic imaging; D011655:Pulmonary Embolism / Q000000981:diagnostic imaging; D011860:Radiography, Abdominal; D013902:Radiography, Thoracic; D013577:Syndrome; D014057:Tomography, X-Ray Computed
Faux pneumopéritoine radiologique. Intérêt du scanner abdominal en urgence.