Mohamed Abbas A, Alharbi Mohammed, Mohamed Sarah
General and Laparoscopic Surgery, King Salman Specialist Hospital, Hail, SAU.
Medical College, Al Imam Mohammad Ibn Saud Islamic University, Riyadh, SAU.
Cureus. 2023 Jul 4;15(7):e41379. doi: 10.7759/cureus.41379. eCollection 2023 Jul.
Pneumoperitoneum is defined as the presence of free air in the abdominal cavity. The most common cause of pneumoperitoneum is intestinal perforation, which usually requires surgical intervention. Nonsurgical pneumoperitoneum (NPS) is defined as the presence of free air in the abdominal cavity without visceral perforation by an intrathoracic route, which commonly occurs in patients on mechanical ventilation in intensive care units. NSP, when properly diagnosed, can be successfully treated conservatively without surgery, and intensivists and surgeons should be aware of this entity associated with mechanical ventilation to avoid unnecessary surgical intervention.
气腹被定义为腹腔内存在游离气体。气腹最常见的原因是肠穿孔，通常需要手术干预。非手术性气腹（NPS）被定义为腹腔内存在游离气体，且无通过胸内途径的内脏穿孔，这在重症监护病房接受机械通气的患者中较为常见。当正确诊断出NSP时，无需手术即可成功进行保守治疗，重症监护医生和外科医生应了解这种与机械通气相关的情况，以避免不必要的手术干预。
