[A case of spontaneous pneumoperitoneum associated with idiopathic intestinal pseudoobstruction].
Pneumoperitoneum, free intra-abdominal air, usually results from the perforation of a hollow viscous. In approximately 10% of cases, however, pneumoperitoneum is not caused by gastrointestinal perforation. These cases of "spontaneous pneumoperitoneum" generally follow more benign course and may not require surgical intervention. Examples include cardiopulmonary resuscitation (CPR), malrotation, mechanical ventilator support, gynecologic manipulation, blunt abdominal trauma, and chronic intestinal pseudoobstruction in infancy (Sieber syndrome). But, it is extremely rare of spontaneous pneumoperitoneum secondary to idiopathic intestinal pseudoobstruction in adult. We herein report a patient with chronic idiopathic intestinal pseudoobstruction who developed a pneumoperitoneum.
Kim
Hye Won
HW
Department of Internal Medicine, Yonsei University College of Medicine, Seoul, Korea.
Chon
Nu Ri
NR
Kim
Young Shin
YS
Kim
Jie Hyun
JH
Park
Hyojin
H
D000328:Adult; D002908:Chronic Disease; D006801:Humans; D007418:Intestinal Pseudo-Obstruction / Q000150:complications / Q000175:diagnosis* / Q000601:surgery; D007421:Intestine, Small / Q000473:pathology; D008297:Male; D011027:Pneumoperitoneum / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000209:etiology; D014057:Tomography, X-Ray Computed