Rozhl Chir. 2023 Summer;102(5):214-218. doi: 10.33699/PIS.2023.102.5.214-218.
Pneumoperitoneum as a finding on imaging examinations is not always a sign of acute abdomen due to gastrointestinal perforation. These findings must be viewed in connection with the clinical condition and personal history of each patient because they may also indicate a non-surgical or spontaneous pneumoperitoneum. This condition is repeatedly described but very often neglected. This paper presents the case report of a patient with non-surgical pneumoperitoneum where, despite proceeding according to the guidelines, no expected intra-abdominal pathology explaining the patient's problems was found.
影像学检查中发现气腹并不总是由于胃肠道穿孔导致的急性腹痛的征象。这些发现必须结合每位患者的临床状况和个人病史来看待，因为它们也可能提示非手术性或自发性气腹。这种情况虽然经常被描述但却经常被忽视。本文报告了一例非手术性气腹患者的病例，尽管按照指南进行了操作，但未发现可解释患者问题的预期腹腔内病变。
