Masood Quratulain Fatima, Khaleeq Tahawar, Khan Quratulain, Abbasi Saba, Arshad Sameen, Bano Farah, Pervaiz Danish
National University of Sciences and Technology, Islamabad, Pakistan.
J Ayub Med Coll Abbottabad. 2009 Apr-Jun;21(2):176-7.
A 58-year-old woman presented with an unexpected episode of vomiting and an acute abdomen. The patient mentioned a vague history of decreased appetite dyspepsia and constipation. Abdominal X-Ray revealed gas under diaphragm. An Open laparotomy was carried out to evacuate the free gas trapped under the diaphragm. The condition is almost always associated with perforation of abdominal viscera and accumulation of air during surgical or gynaecological procedures or peritoneal dialysis. In the reported case, laparotomy revealed no sign of perforation in GIT, uterine fundus or fistulas and nor did the have patient have any history of surgical or gynaecological procedures. This lead to suggestion of spontaneous or non-surgical pneumoperitonium which is extremely rare. Extensive investigations revealed no known cause pneumoperitonium making our case rare and unique.
一名58岁女性出现意外呕吐和急腹症。患者提及有食欲减退、消化不良和便秘的模糊病史。腹部X光显示膈下有气体。进行了剖腹探查术以排出被困在膈下的游离气体。这种情况几乎总是与腹部脏器穿孔以及手术、妇科手术或腹膜透析期间空气积聚有关。在本报告病例中，剖腹探查术显示胃肠道、子宫底或瘘管无穿孔迹象，且患者也无手术或妇科手术史。这提示为自发性或非手术性气腹，极为罕见。广泛检查未发现气腹的已知病因，使我们的病例既罕见又独特。
