Velez David R
Surgery, University of North Dakota, Grand Forks, USA.
Cureus. 2022 Jun 30;14(6):e26471. doi: 10.7759/cureus.26471. eCollection 2022 Jun.
The most common cause of pneumoperitoneum is perforated hollow viscus, which generally necessitates emergent surgical intervention. Idiopathic spontaneous pneumoperitoneum (ISP) is a rare condition less commonly described. This report outlines the case of a 79-year-old male with recurrent idiopathic spontaneous pneumoperitoneum managed by repeated laparotomy. Knowledge of this rare phenomenon and appropriate workup may allow for the avoidance of unnecessary laparotomies. Despite this, definitively ruling out perforated hollow viscus is difficult outside of the operating room, and many patients will ultimately be taken for surgical exploration and definitive diagnosis.
气腹最常见的原因是中空脏器穿孔，这通常需要紧急手术干预。特发性自发性气腹（ISP）是一种较少被描述的罕见病症。本报告概述了一例79岁男性复发性特发性自发性气腹患者经多次剖腹手术治疗的病例。了解这种罕见现象并进行适当的检查可能有助于避免不必要的剖腹手术。尽管如此，在手术室之外很难明确排除中空脏器穿孔，许多患者最终仍需接受手术探查以明确诊断。
