Idiopathic Spontaneous Pneumoperitoneum: a case description and emergency department management

Spontaneous pneumoperitoneum is the presence of free air in abdominal cavity, usually related with hollow organ injury. It is considered idiopathic if there are no causes identified. We present a woman’s case, with no important comorbidities, who went to the Emergency Department for abdominal pain with inespecific caractheristics, with main finding of pneumoperitoneum after studies.Through radiologic Evaluation we ruled out intestinal structural compromiso and managed her case in a conservative manner with success. Spontaneous pneumoperitoneum is the presence of free air or gas in abdominal (peritoneal) cavity, usually related with hollow-organ injury. It is considered idiopathic if there are no identified causes. We present a woman’s case, with no important comorbidities, who went to the Emergency Department for abdominal pain with inespecific caractheristics, with a main finding of pneumoperitoneum after studies. Through radiologic evaluation we ruled out intestinal structural commitment and managed her case in a conservative manner with success.