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Case Reports and Images in Surgery

 
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Is the conservative treatment the choice for the spontaneous pneumoperitoneum?
Enric Sebastian-Valverde1, Estela Membrilla-Fernández1, Núria Argudo-Aguirre1, María-José Pons-Fragero1, Juan J. Sancho-Insenser1
1Emergency Unit. General Surgery Service. Hospital Universitari del Mar. Barcelona. Spain.

Article ID: 100002Z12EV2015
doi:10.5348/Z12-2015-2-CS-2

Address correspondence to:
Enric Sebastian Valverde
General Surgery Service Hospital del Mar.
Barcelona, Passeig Maritim 25-29 08003 – Barcelona
Spain
Phone: 93 248 34 33

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How to cite this article:
Sebastian-Valverde E, Membrilla-Fernández E, Argudo-Aguirre Núria, Pons-Fragero María-José, Sancho-Insenser JJ. Is the conservative treatment the choice for the spontaneous pneumoperitoneum? J Case Rep Images Surg 2015;1:5–8.


Abstract
Introduction: The most common cause of a pneumoperitoneum is a perforation in the gastrointestinal tract. However, in 5–14% of the cases it presents without perforation, and is called spontaneous pneumoperitoneum or nonsurgical pneumoperitoneum. The spontaneous pneumoperitoneum may occur without systemic disruption, pain, or laboratory abnormality. In these cases, the conservative treatment is an option.
Case Report: We present three patients diagnosed with spontaneous pneumoperitoneum treated conservatively in Hospital del Mar (Barcelona). All three patients presented a proper evolution with the conservative treatment, without any complications, and without requiring a surgery.
Conclusion: The conservative treatment for the spontaneous pneumoperitoneum is a feasible, secure and the first choice when no hemodynamic instability, pain, leukocytosis, fever or peritonism is present.

Keywords: Iatrogenic disease, Intestinal perforation, Laparotomy, Pneumonia, Pneumoperitoneum


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Author Contributions:
Enric Sebastian Valverde – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Estela Membrilla Fernández – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Núria Argudo Aguirre – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
María-JoséPons Fragero – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Juan J. Sancho Insenser – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Guarantor of submission
The corresponding author is the guarantor of submission.
Source of support
None
Conflict of interest
Authors declare no conflict of interest.
Copyright
© 2015 Enric Sebastian Valverde et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.



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