Conservative Management of Pneumoperitonitis after Percutaneous Transhepatic Insertion of Metallic Biliary Stents

Conversely, the latter prompts that the atmospheric air is sucked into the peritoneal cavity through a percutaneous track kept patent by the negative intra-abdominal pressure exerted during respiration.1 Previous to our report, the gaseous content inside a transhepatic tract has been demonstrated on...

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Published inThe American surgeon Vol. 81; no. 12; pp. 418 - 419
Main Authors Virgilio, Edoardo, Chieco, Paola Addario, Salaj, Adelona, Tozzi, Francesca, Desideri, Federico, Giulio, Emilio Di, Cavallini, Marco
Format Journal Article
LanguageEnglish
Published United States SAGE PUBLICATIONS, INC 01.12.2015
Subjects
Abdomen
Adenocarcinoma - complications
Biliary Tract
Cholangiopancreatography, Endoscopic Retrograde
Disease Management
Female
Humans
Hypotheses
Jaundice, Obstructive - etiology
Jaundice, Obstructive - surgery
Middle Aged
Pancreatic Neoplasms - complications
Pneumoperitoneum - diagnosis
Pneumoperitoneum - etiology
Pneumoperitoneum - therapy
Prosthesis Implantation - adverse effects
Prosthesis Implantation - methods
Stents - adverse effects
Tomography, X-Ray Computed
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Summary:Conversely, the latter prompts that the atmospheric air is sucked into the peritoneal cavity through a percutaneous track kept patent by the negative intra-abdominal pressure exerted during respiration.1 Previous to our report, the gaseous content inside a transhepatic tract has been demonstrated only in one case: such a radiological finding advocates for the second hypothesis.2 All the affected patients ameliorated on conservative treatment with complete disappearance of the pneumoperitoneum ensuing approximately in two weeks from the diagnosis and this happened in our patient as well.
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ISSN:0003-1348
1555-9823
1555-9823
DOI:10.1177/000313481508101209