title: Acute abdominal pain and radiological pneumoperitoneum - always an indication for laparotomy?
abstract: Pneumoperitoneum in the presence of acute abdominal pain is well recognised as an indication for laparotomy. We present a case of acute abdominal pain in the presence of an incidental pneumoperitoneum secondary to the rupture of pneumatosis intestinalis. We will discuss the importance of clinical context in the diagnosis and management of pneumoperitoneum and pneumatosis intestinalis.
authors.affiliation: Department of General Surgery, Princess Royal University Hospital, Farnborough Common, Orpington, Kent, UK.
authors.forename: Christopher
authors.initials: C
authors.lastname: Buckle
authors.forename: Christopher
authors.initials: C
authors.lastname: Holdridge
authors.forename: Tina
authors.initials: T
authors.lastname: Xu
authors.forename: Falah
authors.initials: F
authors.lastname: Akhwais
authors.forename: Aaditya
authors.initials: A
authors.lastname: Sinha
authors.forename: Sudeendra
authors.initials: S
authors.lastname: Doddi
authors.forename: Prakash
authors.initials: P
authors.lastname: Sinha
keywords: Conservative management; Laparotomy; Pneumatosis intestinalis; Pneumoperitoneum