Extensive pneumatosis coli and intraperitoneal free air

BMJ ◽  
2013 ◽  
Vol 346 (may28 21) ◽  
pp. f3386-f3386
Author(s):  
S. Haldar ◽  
S. S. Turner ◽  
B. Olubaniyi ◽  
D. C. Howlett
Keyword(s):  
Pneumatosis Coli ◽  
Free Air ◽  
Intraperitoneal Free Air

scholarly journals Tension pneumoperitoneum: a very rare complication of acute gangrenous appendicitis

2016 ◽  
Vol 98 (8) ◽  
pp. e197-e199 ◽  
Author(s):  
P Das ◽  
R Mukherjee ◽  
D Pathak ◽  
A Gangopadhyay ◽  
S Halder ◽  
...  
Keyword(s):  
Rare Complication ◽  
Abdominal Distension ◽  
Exploratory Laparotomy ◽  
Hemodynamic Instability ◽  
Gangrenous Appendicitis ◽  
Free Air ◽  
Tension Pneumoperitoneum ◽  
Emergency Measure ◽  
Intraperitoneal Free Air ◽  
Needle Decompression

Tension pneumoperitoneum is a very rare consequence of acute gangrenous appendicitis. We report a case of a 32-year-old woman who presented with abdominal pain, progressively increasing abdominal distension, profound hemodynamic instability and ventilatory compromise. The diagnosis of tension pneumoperitoneum was confirmed by computed tomography, which showed compression of the intra-abdominal viscera and liver (saddlebag sign) by a large volume of intraperitoneal free air. Urgent needle decompression was done as an emergency measure. Exploratory laparotomy, planned due to persistent peritonitis, revealed gangrenous appendicitis with perforation near its base. Appendicectomy with excision of gangrenous portion of caecum was performed. The purpose of the reporting this case is to highlight that the tension pneumoperitoneum can be, very rarely, associated with gangrenous appendicitis and timely diagnosis is very important for the emergency management of this deadly condition.

scholarly journals Two Cases of Pneumatosis Cystoides Intestinalis With Intraperitoneal Free Air

2017 ◽  
Vol 10 (3) ◽  
pp. 208-211 ◽  
Author(s):  
Kensuke Wada ◽  
Nobuhiro Takeuchi ◽  
Masakazu Emori ◽  
Masanori Takada ◽  
Yusuke Nomura ◽  
...  
Keyword(s):  
Pneumatosis Cystoides Intestinalis ◽  
Free Air ◽  
Intraperitoneal Free Air

scholarly journals TWO CASES OF PNEUMATOSIS CYSTOIDES INTESTINALIS FOUND BY INTRAPERITONEAL FREE AIR

1999 ◽  
Vol 60 (12) ◽  
pp. 3215-3218
Author(s):  
Hiroshi IMANO ◽  
Tsuneo KAIHOH ◽  
Masazi HASHIMOTO ◽  
Hiroshi SHIBUYA ◽  
Yutaka HIRANO ◽  
...  
Keyword(s):  
Pneumatosis Cystoides Intestinalis ◽  
Free Air ◽  
Intraperitoneal Free Air

scholarly journals A case of pneumoperitoneum after diagnostic colonoscopy for ulcerative colitis managed conservatively: a rare but possible complication

2021 ◽  
Vol 8 (3) ◽  
pp. 1023
Author(s):  
Neel B. Patel ◽  
Hitendra K. Desai ◽  
Purvesh Doshi ◽  
Bansil Javia
Keyword(s):  
Ulcerative Colitis ◽  
Inflammatory Bowel Disease ◽  
Bowel Disease ◽  
Surgical Intervention ◽  
Safe Procedure ◽  
Free Air ◽  
Increased Risk ◽  
Active Colitis ◽  
Intraperitoneal Free Air ◽  
Inflammatory Bowel

Ulcerative colitis is a chronic disease characterized by recurring episodes of inflammation of the colonic mucosae. Patients with ulcerative colitis are at an increased risk of perforations due to friability of colonic mucosa. Colonoscopy is usually regarded as a safe procedure, but complications may occur. Perforations associated with colonoscopy are dreaded complications. Most patients with pneumoperitoneum require surgical intervention, with associated major postoperative morbidity and mortality. This case report describes a 30 year old female presenting with an extensive pneumoperitoneum 2 days after colonoscopy done for her complaint of melena for one week. Colonoscopy was suggestive of severe active colitis in background of chronic ulcerative colitis. Histopathological reports s/o inflammatory bowel disease ulcerative colitis likely. CT Abdomen was s/o diffuse concentric thickening of the large bowel more predominantly seen in rectosigmoid colon, ascending colon, caecum, IC junction and consistent with inflammatory bowel disease and moderate pneumoperitoneum noted. The patient remained stable despite intraperitoneal free air. Patient was managed conservatively and no surgical intervention needed.

scholarly journals A CASE OF EMPHYSEMATOUS CYSTITIS PRESENTED AS NON-PERFORATED PERITONITIS WITH INTRAPERITONEAL FREE AIR

2011 ◽  
Vol 72 (3) ◽  
pp. 782-785
Author(s):  
Katsushi TAKEBAYASHI ◽  
Yasuhiro KAWAI ◽  
Tomoyuki TAGI ◽  
Masakata MATSUMURA ◽  
Kenji SHIMIZU ◽  
...  
Keyword(s):  
Emphysematous Cystitis ◽  
Free Air ◽  
Intraperitoneal Free Air ◽  
Perforated Peritonitis

Sonographic Depiction of Intraperitoneal Free Air

2009 ◽  
Vol 67 (3) ◽  
pp. 675 ◽  
Author(s):  
Michael Blaivas ◽  
Andrew W. Kirkpatrick ◽  
Monica Rodriguez-Galvez ◽  
Chad G. Ball
Keyword(s):  
Free Air ◽  
Intraperitoneal Free Air

scholarly journals Massive intraperitoneal free air induced by pneumothorax and pneumomediastinum

2018 ◽  
Vol 49 ◽  
pp. 78-80 ◽  
Author(s):  
Kei Fujiwara ◽  
Hiromichi Ohsaka ◽  
Hiroki Nagasawa ◽  
Ikuto Takeuchi ◽  
Kei Jitsuiki ◽  
...  
Keyword(s):  
Free Air ◽  
Intraperitoneal Free Air
Sign in / Sign up

Export Citation Format

Share Document