title: [A case of nonsurgical pneumoperitoneum associated with the incomplete type of intestinal Behçet disease].
abstract: A 58-year-old man was admitted with fever and arthralgia. He had some symptoms suggesting the incomplete type of Behçet disease, and a routine chest X-ray films showed the presence of massive pneumoperitoneum (PP). Exploratory laparotomy revealed no evidence of gastrointestinal perforation or peritonitis. Thus, we initially diagnosed it as idiopathic PP. However a 2×1-mm induration located on the antimesentric side of the ileum 50cm proximal to the ileocecal valve. The wedge-shaped pathological specimen showed ulcer perforation and its restoration. Finally we concluded it to be nonsurgical PP. This case provides significant information on the etiology of idiopathic PP.
authors.affiliation: Department of Internal Medicine, Tohyama Hospital. md-hiasa@toyama-hp.or.jp
authors.forename: Atsunori
authors.initials: A
authors.lastname: Hiasa
authors.forename: Tsunehiko
authors.initials: T
authors.lastname: Shigemori
authors.forename: Chieko
authors.initials: C
authors.lastname: Ito
authors.forename: Tomomi
authors.initials: T
authors.lastname: Mouri
authors.forename: Seiko
authors.initials: S
authors.lastname: Oka
authors.forename: Kenji
authors.initials: K
authors.lastname: Takeuchi
authors.forename: Yoshiyuki
authors.initials: Y
authors.lastname: Ito
authors.forename: Ichirou
authors.initials: I
authors.lastname: Imoto
authors.forename: Toshio
authors.initials: T
authors.lastname: Kato
authors.forename: Katsunori
authors.initials: K
authors.lastname: Uchida
mesh_terms: D001528:Behcet Syndrome / Q000150:complications*; D006801:Humans; D007410:Intestinal Diseases / Q000150:complications* / Q000473:pathology; D008297:Male; D008875:Middle Aged; D011027:Pneumoperitoneum / Q000209:etiology*; D014456:Ulcer / Q000150:complications / Q000473:pathology