SciELO - Scientific Electronic Library Online

 
vol.35 número1Uso de la tomografía corporal total en pacientes con trauma grave: ¿es efectiva y segura para definir el manejo no operatorio?Isquemia arterial aguda de las extremidades: ¿cómo abordarla? índice de autoresíndice de materiabúsqueda de artículos
Home Pagelista alfabética de revistas  

Servicios Personalizados

Revista

Articulo

Indicadores

Links relacionados

  • En proceso de indezaciónCitado por Google
  • No hay articulos similaresSimilares en SciELO
  • En proceso de indezaciónSimilares en Google

Compartir


Revista Colombiana de Cirugía

versión impresa ISSN 2011-7582versión On-line ISSN 2619-6107

Resumen

ARROYAVE, Yeni et al. Intestinal and peritoneal cystic pneumatosis as a cause of pneumoperitoneum. Review of the literature about a case. rev. colomb. cir. [online]. 2020, vol.35, n.1, pp.93-99. ISSN 2011-7582.  https://doi.org/10.30944/20117582.592.

Introduction:

Intestinal pneumatosis is a rare condition that is characterized by submucosal or subserosal gas infiltration in the digestive tract. It is found more frequently in the small intestine, and rarely in an extraintestinal location. Its estimated prevalence is 0.03%.

Methods:

A literature search was performed in the Medline Pubmed, Sciencedirect, Tripdatabase and Uptodate databases, using as keywords Neumoperitoneum and Intestinal Cystoid Neumatosis. For the presentation of the clinical case, medical history data were collected, in addition to radiography images, tomography and photographic material of the surgical procedure.

Clinical case:

This is a 63-year-old woman with a history of collagenopathy, who consulted for abdominal pain and distension. Although she had no signs of peritoneal irritation, diagnostic images revealed pneumoperitoneum and free fluid in the peritoneal cavity. Intestinal perforation was suspected, and an exploratory laparotomy was performed, in which intestinal and peritoneal cystic pneumatosis in was found.

Conclusions:

Not all cases of pneumoperitoneum require surgery. There are spontaneous cases without peritoneal irritation, secondary to intestinal cystic pneumatosis. In cases of pneumoperitoneum in stable patients, with a not very clear etiological diagnosis, and in those who wish to rule out intestinal perforation or ischemia by surgical exploration, diagnostic laparoscopy is a good option and less aggressive than laparotomy.

Palabras clave : gastrointestinal tract; intestine, small; pneumatosis cystoides intestinalis; pneumoperitoneum; conservative treatment.

        · resumen en Español     · texto en Español     · Español ( pdf )