Massive Idiopathic Pneumoperitoneum in Children: A Case Report
2018
The
pneumoperitoneum is the abnormal presence of free air in the peritoneal cavity.
In most cases it is related to the perforation of hollow organs. Nevertheless
there are cases of pneumoperitoneum without obvious causes called idiopathic.
We report a case of massive pneumoperitoneum of radiological discovery in a
patient of 16 years old boy, sickle-cell of type SS, during the exploration of
an angiocholitis. It was medically treated successfully. No obvious etiology
had been found. This particular situation is a dogma which runs up against the
classic interventionist spirit; therefore each of pneumoperitoneum needs to be
studied case by case. The presence of signs of peritoneal irritation allows
surgical exploration. Otherwise, laparoscopy seems to be a minimally invasive
surgical method and allows a visual diagnosis by eliminating a hollow organ
perforation.
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