Nseif M, Berger A, Bely N, Zinzindohoue F, Cellier C, Frija G, Cugnenc P
Service de Chirurgie digestive, oncologique et générale, Hôpital Laennec, Paris.
J Chir (Paris). 1997 Dec;134(7-8):329-31.
We report 2 cases of false pneumoperitoneum. The diagnosis was suspected on an upright chest or abdominal plain films. The absence of clinical signs and symptoms of peritoneal irritation suggested a wrong radiological diagnosis. Emergency CT scan definitely eliminated a pneumoperitoneum and suggested the right diagnosis in both cases. This exam may play the decisive role in preventing needless emergency laparotomy.
我们报告2例假性气腹病例。在立位胸部或腹部平片上怀疑有该诊断。缺乏腹膜刺激的临床体征和症状提示放射学诊断错误。急诊CT扫描明确排除了气腹,并在两例中均提示了正确诊断。该检查在避免不必要的急诊剖腹手术中可能起决定性作用。