Massive Pneumoperitoneum

Massive Pneumoperitoneum

An 82-year-old female presented to the emergency department with acute worsening of abdominal pain, which had been present for three months. Her physical exam showed significant signs of considerable abdominal distention, diffuse tenderness, and rigidity. She was unable to change position for upright abdominal radiographs; therefore, a modified portable flat plate abdominal radiograph was obtai...

Massive pneumoperitoneum after scuba diving.

Pneumoperitoneum usually indicates rupture of a hollow viscus and considered a surgical emergency. But air may also enter the peritoneum from the lung or the genital organs in female without visceral perforation. While scuba diving, the rapid ascent is usually controlled by placing in a decompression chamber and the excess gas volume is exhaled. Failure to allow this excess gas to escape will r...

Massive pneumoperitoneum following colonoscopic sigmoid perforation.

To cite: ElGendy K, Salem A. BMJ Case Rep Published online: [please include Day Month Year] doi:10.1136/bcr-2014204012 DESCRIPTION An 82-year-old man presented with a change in bowel habits and bleeding per rectum with no history of any associated comorbidities. On examination, there was palpable thickening of the rectum. Investigations showed normal carcinoembryonic antigen level and contrast ...

Conservative management of massive pneumoperitoneum after argon plasma coagulation.

Argon plasma coagulation (APC) is a safe and effective technique that is widely used for the treatment of gastrointestinal vascular lesions. It is considered the technique of choice for the management of these lesions. Rendu–Osler–Weber disease is a condition characterized by the appearance of arteriovenous malformations of the skin, mucous membranes and various organs, typically presenting gas...

Pneumoperitoneum