Spontaneous pneumoperitoneum in the absence of visceral perforation in a patient with systemic sclerosis: a case report

We present the case of a 44 year old woman with systemic sclerosis who presented with intense abdominal pain without signs of peritonitis. An abdominal computed tomography showed generalized intestinal dilation, intestinal pneumatosis and an extensive pneumoperitoneum. A diagnostic laparoscopy was p...

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Bibliographic Details
Published inCirugia y cirujanos Vol. 92; no. 2; p. 271
Main Authors Martínez-Garza, Pablo A, Hermosillo-Cornejo, Daniel G, López-Almanza, Perla X, López-Méndez, Edgardo E, Montalvo-Domínguez, Gerardo A
Format Journal Article
LanguageEnglish
Published Mexico 2024
Subjects
Abdominal Pain - etiology
Adult
Female
Humans
Laparoscopy
Pneumoperitoneum - diagnostic imaging
Pneumoperitoneum - etiology
Scleroderma, Systemic - complications
Tomography, X-Ray Computed
Esclerodermia
Esclerosis sistémica
Pneumoperitoneum
Systemic sclerosis
Neumoperitoneo espontáneo
Scleroderma
Neumoperitoneo
Spontaneous pneumoperitoneum
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Summary:We present the case of a 44 year old woman with systemic sclerosis who presented with intense abdominal pain without signs of peritonitis. An abdominal computed tomography showed generalized intestinal dilation, intestinal pneumatosis and an extensive pneumoperitoneum. A diagnostic laparoscopy was performed but no perforation nor gastrointestinal leakage were found. Spontaneous pneumoperitoneum in patients with systemic sclerosis without visceral perforation is an extremely rare complication. Physicians must have a low threshold of suspicion for this entity when a patient with systemic sclerosis presents with spontaneous pneumoperitoneum in the absence of peritoneal signs.
ISSN:2444-054X