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Spontaneous pneumoperitoneum, a clinical dilemma report of a case

International Journal of Radiology & Radiation Therapy
Alejandro Weber Sánchez, Pablo Weber, Sofia Mateos


Intraabdominal free air without perforation of a hollow viscus is a rare clinical condition. Spontaneous pneumoperitoneum as it is known, its a clinical challenge for both diagnosis and treatment. It generates the doubt on whether to perform or not an emergency surgery. We present the clinical case of a patient with massive spontaneous pneumoperitoneum and acute abdomen without perforation of hollow viscus. A laparoscopy was performed but no obvious perforation sight was found. In cases of great doubt laparoscopy is a minimally invasive procedure that makes possible to stablish the diagnosis or solve the problem as needed.


spontaneous pneumoperitoneum, laparoscopy, idiopathic pneumoperitoneum, hollow viscus perforation