A Case of Spontaneous Pneumoperitoneum Caused by Giant Bulla.
- Author:
Key Jo LEE
1
;
Seok Woo KANG
;
Min Bom PARK
;
Eun Ho JEONG
;
Jin Ou KIM
;
Hee Bae WANG
;
Tae Ho KIM
Author Information
1. Department of Internal Medicine, Seoul Red Cross Hospital, Seoul, Korea. ksw204@hanmail.net
- Publication Type:Case Report
- Keywords:
Pneumoperitoneum;
Air
- MeSH:
Abdomen;
Aged;
Blister;
Humans;
Laparotomy;
Low Back Pain;
Lung;
Physical Examination;
Pneumoperitoneum;
Thorax
- From:Korean Journal of Medicine
2011;81(3):366-371
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
A spontaneous pneumoperitoneum is air in the peritoneal space that is detectable radiologically and can be managed successfully by observation alone or a laparotomy. A 73-year-old man was admitted for low back pain. He had a giant bulla in the left upper lung, detected radiologically 7 years earlier. On admission, he had free air in the subphrenic area bilaterally, while the previous giant bulla was not seen. Based on the physical examination, we thought that the new free air did not indicate a surgical abdomen, and performed additional examinations to rule out other disease. There was no abnormal finding linked to the free air. The free air had almost disappeared on a subsequent chest X-ray. We report a rare case of spontaneous pneumoperitoneum caused by a giant bulla, with a literature review
