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"A Case of Recurrent Abdominal Pain"

 

 

Case of the Week 264



What's the most likely diagnosis?

  • 79 year-old with abdominal pain following colonoscopy

  1. Large bowel obstruction
  2. Generalized adynamic ileus
  3. Small bowel obstruction
  4. Pneumoperitoneum
  5. Gallstones


Answer:

 


4. Pneumoperitoneum

 

 

More (Click Discussion Tab)


Pneumoperitoneum

Causes of free air

  • Disruption of wall of hollow viscus
    • Blunt or penetrating trauma
    • Perforating foreign body
    • Iatrogenic perforation
      • Laparoscopy / laparotomy
        • Absorbed in <7 days depending on initial amount of air introduced and body habitus
      • Leaking surgical anastomosis
      • Endoscopic perforation
      • Diagnostic pneumoperitoneum
    • Diseases of GI tract
      • Perforated gastric or duodenal ulcer

More ...




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