[Spontaneous pneumoperitoneum: a case secondary to thoracic trauma].
Spontaneous pneumoperitoneum is the radiographic manifestation of free air in the peritoneal cavity without visceral perforations and peritoneal signs, and it occurs in about 10% of the cases of pneumoperitoneum. The etiology can be postoperative, thoracic, abdominal, gynecologic, idiopathic; it generally introduces a benign evolution and does not require surgical treatment but just a conservative approach. The authors describe here a case of spontaneous pneumoperitoneum secondary to thoracic trauma. This case is interesting for the occurrence of pneumoperitoneum without clinical peritoneal signs such as fever and leucocytosis, after closed thoracic trauma in absence of pneumothoracic and pneumomediastinum. Correct clinical approach has allowed a conservative treatment avoiding an useless laparotomy.
Urso
G
G
Presidio ospedaliero di Villa d'Agri, Unità Operativa Complessa di Chirurgia Generale, Azienda Sanitaria USL 2 di Potenza, Potenza. giacomourso@libero.it
Palladino
E
E
Andriulo
N
N
Marinelli
T
T
Perrotta
N
N
Loffredo
D
D
Genova
G
G
D000058:Accidental Falls; D000368:Aged; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D004232:Diuretics / Q000627:therapeutic use; D005500:Follow-Up Studies; D006801:Humans; D007231:Infant, Newborn; D008297:Male; D010102:Oxygen Inhalation Therapy; D011027:Pneumoperitoneum / Q000175:diagnosis / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000209:etiology* / Q000628:therapy; D013902:Radiography, Thoracic; D013898:Thoracic Injuries / Q000150:complications* / Q000000981:diagnostic imaging / Q000209:etiology; D013997:Time Factors; D016896:Treatment Outcome; D014949:Wounds, Nonpenetrating / Q000150:complications* / Q000000981:diagnostic imaging / Q000209:etiology
D000900:Anti-Bacterial Agents; D004232:Diuretics