Does pneumoperitoneum always require laparotomy?: Report of six cases and review of the literature

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dc.authoridGÜRÜNLÜOĞLU, Kubilay/0000-0002-8315-1765
dc.authoridAkin, Melih/0000-0001-9269-8001
dc.authoridIrsi, Cesim/0000-0001-6478-0382
dc.authorwosidGÜRÜNLÜOĞLU, Kubilay/AAO-5631-2020
dc.authorwosidKARAMAN, Abdurrahman/G-7825-2016
dc.contributor.authorKaraman, A
dc.contributor.authorDemirbilek, S
dc.contributor.authorAkin, M
dc.contributor.authorGürünlüoglu, K
dc.contributor.authorIrsi, C
dc.date.accessioned2024-08-04T20:15:03Z
dc.date.available2024-08-04T20:15:03Z
dc.date.issued2005
dc.departmentİnönü Üniversitesien_US
dc.description.abstractThe presence of intraperitoneal free air signals perforation of a hollow viscus in over 90% of the patients. Rarely, however, the presence of pneumoperitoneum may not indicate an intra-abdominal perforation and thus may not require laparotomy. This condition, which poses a dilemma to the surgeon faced with this problem, is termed nonsurgical, spontaneous or idiopathic pneumoperitoneum. Six cases of nonsurgical pneumoperitoneum admitted over a 2-year period to our institution are reported, and the etiological mechanisms and the pathophysiology of the appearance of intra-abdominal free gas are reviewed. Two of the six children with nonsurgical pneumoperitoneum underwent exploratory laparotomy when clinical examination suggested an acute abdomen; no intra-abdominal pathology was documented in one of these patients. In the other children, malrotation was found. Four patients, on ventilatory support, were managed conservatively after performing a diagnostic peritoneal lavage and/or contrast studies those were negative. An appreciation of the condition and its likely etiological factors should improve awareness and possibly reduce the imperative to perform emergency laparotomy on an otherwise well patient with an unexplained pneumoperitoneum.en_US
dc.identifier.doi10.1007/s00383-005-1489-3
dc.identifier.endpage824en_US
dc.identifier.issn0179-0358
dc.identifier.issn1437-9813
dc.identifier.issue10en_US
dc.identifier.pmid16096797en_US
dc.identifier.scopus2-s2.0-27144467430en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpage819en_US
dc.identifier.urihttps://doi.org/10.1007/s00383-005-1489-3
dc.identifier.urihttps://hdl.handle.net/11616/94145
dc.identifier.volume21en_US
dc.identifier.wosWOS:000232762800010en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherSpringeren_US
dc.relation.ispartofPediatric Surgery Internationalen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectpneumoperitoneumen_US
dc.subjectnonsurgical pneumoperitoneumen_US
dc.subjectspontaneous pneumoperitoneumen_US
dc.titleDoes pneumoperitoneum always require laparotomy?: Report of six cases and review of the literatureen_US
dc.typeReview Articleen_US

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