Alsobyani Faris, Alshakri Khadijah, Attar Hanin Mohammed, Abada Hatem, Rokbah Hassan Abu
General Surgery Department, Al Noor Specialist Hospital, 3rd Ring Rd, 24241, Makkah, Saudi Arabia.
Plastic Surgery Department, Al Noor Specialist Hospital, 3rd Ring Rd, 24241, Makkah, Saudi Arabia.
J Surg Case Rep. 2024 Dec 27;2025(1):rjae814. doi: 10.1093/jscr/rjae814. eCollection 2025 Jan.
This case report discusses a 32-year-old woman with no significant medical history who underwent elective bilateral breast reduction with auto-augmentation and abdominoplasty. Initially, her recovery was smooth, but on the third postoperative day, she exhibited tachycardia, tachypnea, and mild shortness of breath, while other vital signs remained stable. A chest X-ray revealed pneumoperitoneum, and a subsequent abdominal CT confirmed moderate pneumoperitoneum without gastrointestinal leakage. Due to the lack of peritoneal signs and normal bowel sounds, conservative management was chosen. Over 2 days, her condition improved, and she was discharged without complications. This case emphasizes the need to recognize nonsurgical pneumoperitoneum after recent abdominal surgery and suggests that conservative management can be effective in the absence of perforation. This report is the first documented instance of spontaneous pneumoperitoneum following breast augmentation and abdominoplasty, highlighting the need for awareness in similar cases.
本病例报告讨论了一名32岁无重大病史的女性，她接受了择期双侧乳房缩小术并自体隆乳及腹部整形术。起初，她恢复顺利，但在术后第三天，她出现了心动过速、呼吸急促和轻度气短，而其他生命体征保持稳定。胸部X线检查显示气腹，随后的腹部CT证实为中度气腹，无胃肠道渗漏。由于缺乏腹膜刺激征且肠鸣音正常，选择了保守治疗。两天内，她的病情有所改善，且无并发症出院。本病例强调了在近期腹部手术后识别非手术性气腹的必要性，并表明在无穿孔的情况下保守治疗可能有效。本报告是隆胸及腹部整形术后自发性气腹的首例文献记载病例，凸显了在类似病例中提高认识的必要性。
