Spontaneous pneumoperitoneum secondary to intestinal pneumatosis: an uncommon cause of acute abdomen

Jonathan Salgado Vives; Enrique Chávez Serna; Fernando Uraik Hernandez Bustos; Guadalupe Grisel Yañez Herrera

doi:10.18203/2320-6012.ijrms20212795

Authors

Jonathan Salgado Vives Department of General Surgery, Regional General Hospital No. 1, Mexican Institute of Social Security IMSS, Queretaro, Mexico
Enrique Chávez Serna Department of General Surgery, Regional General Hospital No. 1, Mexican Institute of Social Security IMSS, Queretaro, Mexico
Fernando Uraik Hernandez Bustos Department of General Surgery, Regional General Hospital No. 1, Mexican Institute of Social Security IMSS, Queretaro, Mexico
Guadalupe Grisel Yañez Herrera Department of General Surgery, Regional General Hospital No. 1, Mexican Institute of Social Security IMSS, Queretaro, Mexico

DOI:

https://doi.org/10.18203/2320-6012.ijrms20212795

Keywords:

Intestinal pneumatosis, Pneumoperitoneum, Acute abdomen, Systemic sclerosis

Abstract

Intestinal pneumatosis is a rare entity characterized by gas accumulation in the submucosa and or subserosa of the intestinal tract wall and is generally associated with other diseases, the primary presentation is rare. Most of the cases are asymptomatic, being infrequent the presentation as an acute abdomen secondary to a spontaneous pneumoperitoneum. We report the case of a patient with systemic sclerosis, who presented to the emergency department with abdominal pain and intestinal obstruction, without improvement to conservative treatment and with progression to acute abdomen, for which surgical treatment was performed showing intestinal pneumatosis that compromised the entire small intestine.

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Author Biography

Jonathan Salgado Vives, Department of General Surgery, Regional General Hospital No. 1, Mexican Institute of Social Security IMSS, Queretaro, Mexico

Department of General Surgery

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