Snape J, Poon M, Green J, Patterson J E
Physician Kings Mill Hospital Sutton in Ashfield Notts. NG17 4JL.
Acute Med. 2010;9(3):120-1.
We present the case of a 48 year old male with multiple sclerosis who later became unwell with fever and vague abdominal pain 2 days after inserting a percutanous endoscopic gastrostomy (PEG) tube. His chest x-ray showed gas under the diaphragm. As a result of this, a laparotomy was performed which found no evidence of intra-abdominal sepsis. We discuss the importance of recognising 'benign' pneumoperitoneum following PEG insertion. Further imaging, such as abdominal CT scan is desirable prior to consideration of laparotomy when diagnostic uncertainty exists.
我们报告了一例48岁男性多发性硬化症患者的病例，该患者在经皮内镜下胃造口术（PEG）置管2天后出现发热和腹部隐痛不适。他的胸部X光片显示膈下游离气体。因此，进行了剖腹探查术，但未发现腹腔内感染的证据。我们讨论了认识PEG置管后“良性”气腹的重要性。当存在诊断不确定性时，在考虑剖腹探查术之前，进行进一步的影像学检查，如腹部CT扫描是可取的。
