López-Boado M A, Rull R, Bataller R, González F X, Bordas J M, Visa J
Servicio de Cirugía General y del Aparato Digestivo. Hospital Clínic, Universidad de Barcelona.
Rev Esp Enferm Dig. 1996 May;88(5):365-7.
A case of asymptomatic pneumoperitoneum after fiber gastroscopic sclerosis of bleeding gastric erosions is presented. Air bubbles in gastric curvatures without evidence of macroscopic perforation were found at laparotomy. We comment the etiologies of pneumoperitoneum without macroscopic perforation and suggest that the management of patients with asymptomatic pneumoperitoneum with normal clinical examination and blood analysis might be conservative to avoid needless laparotomies.
本文报告一例胃糜烂出血经纤维胃镜硬化治疗后出现无症状气腹的病例。剖腹手术时发现胃壁有气泡，但无肉眼可见的穿孔迹象。我们对无肉眼可见穿孔的气腹病因进行了讨论，并建议对于临床检查和血液分析正常的无症状气腹患者，治疗可采取保守方式，以避免不必要的剖腹手术。
