Soheilipour Maryam, Momenzadeh Mahnaz, Aria Amir, Saghar Fatemeh, Tabesh Elham
Isfahan Gastroenterology and Hepatology Research Center, Isfahan University of Medical Sciences, Isfahan, Iran.
Department of Clinical Pharmacy and Pharmacy Practice, School of Pharmacy and Pharmaceutical Sciences, Isfahan, Iran.
Adv Biomed Res. 2023 Jul 20;12:177. doi: 10.4103/abr.abr_376_22. eCollection 2023.
Benign pneumoperitoneum can happen after colonoscopy, which shows itself as free air in the abdomen without symptoms or pneumoperitoneum without peritonitis. In this case, we reported a rare case of an elderly man who had acute abdominal stiffness after colonoscopy and observation of free air under the diaphragm that no perforation was observed in the intestine during laparoscopy and only one tiny intestinal tumor was randomly reported. There is no consensus on the treatment of pneumoperitoneum after colonoscopy. Patients with peritonitis benefit from laparoscopy but patients with micro perforation and asymptomatic patients benefit from intravenous antibiotic treatment and bowel rest.
良性气腹可发生于结肠镜检查后，表现为腹部游离气体但无相关症状，或气腹但无腹膜炎。在此，我们报告了一例罕见病例，一名老年男性在结肠镜检查后出现急性腹部僵硬，且在膈下观察到游离气体，腹腔镜检查时未发现肠道穿孔，仅偶然发现一个微小的肠道肿瘤。对于结肠镜检查后气腹的治疗尚无共识。腹膜炎患者可从腹腔镜检查中获益，而微小穿孔患者及无症状患者则从静脉抗生素治疗和肠道休息中获益。
