Ongena K, Simoens C, Opdebeek B, Willems G
Department of surgery, Akademisch Ziekenhuis, Vrije Universiteit van Brussel, Brussels, Belgium.
Acta Chir Belg. 1997 Jan-Feb;97(1):36-8.
An uncommon case of pneumoperitoneum without peritonitis, related to small bowel diverticulosis is presented. Pneumoperitoneum is usually a life-threatening incident, most frequently attributed to a perforated viscus and generally requiring emergency surgery. Non surgical pneumoperitoneum, however, is known to be caused by a variety of pathological and non pathological entities. Small bowel diverticulosis is an extremely rare cause of chronic pneumoperitoneum without peritonitis. In the presence of mechanical bowel obstruction, the latter kind of pneumoperitoneum can suddenly become impressively increased. A conservative attitude is generally advocated in the presence of such a benign pneumoperitoneum. However, laparoscopic exploration may be helpful for the diagnosis.
本文介绍了一例罕见的无腹膜炎气腹病例，该病例与小肠憩室病有关。气腹通常是危及生命的事件，最常见的原因是脏器穿孔，一般需要紧急手术。然而，已知非手术性气腹可由多种病理和非病理因素引起。小肠憩室病是慢性无腹膜炎气腹的极其罕见的原因。在存在机械性肠梗阻的情况下，后一种气腹可能会突然显著增加。对于这种良性气腹，一般主张采取保守态度。然而，腹腔镜探查可能有助于诊断。
