Year 2022 / Volume 114 / Number 2
Digestive Diseases Image
Atypical image of pneumoperitoneum secondary to colon perforation

112-113

DOI: 10.17235/reed.2021.8180/2021

María Cortes Avilés Martínez, Irene García Cuartero, José Javier de Arriba Méndez, Mónica Rodríguez Galdeano,

Abstract
The case was a 66-year-old female with a diagnosis of bilateral ovarian carcinoma with peritoneal carcinomatosis and liver metastases. She had only undergone one cycle of chemotherapy and could not be given other cycles because of her poor general condition. She was admitted due to intermittent vomiting for a week and severe heartburn, with the last stool passed two days before, presenting abdominal distension and lower abdominal pain, without signs of peritonism and no peristaltic sounds. After performing several complementary tests a computed tomography scan showed a large amount of intra-abdominal air, which was thought to be a possible transverse colon volvulus, that caused extrinsic compression on the stomach. A colonoscopy was performed in an attempt to devolvulate, which was unsuccessful.
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References
-Yang J, Liu WQ, Dong J, Wen ZQ, Zhu Z, Li WL. Pneumothorax, pneumomediastinum, pneumoperitoneum and extensive subcutaneous emphysema resulting from endoscopic mucosal resection secondary to colonoscopy: A case report. Oncol Lett. 2016 Apr;11(4):2763-2767. doi: 10.3892/ol.2016.4302. Epub 2016 Mar 2. PMID: 27073549; PMCID: PMC4812224.
-Kim BH, Yoon SJ, Lee JY, Moon JE, Chung IS. Subcutaneous emphysema, pneumomediastinum, pneumoretroperitoneum, and pneumoperitoneum secondary to colonic perforation during colonoscopy. Korean J Anesthesiol. 2013 Dec;65(6 Suppl):S103-4. doi: 10.4097/kjae.2013.65.6S.S103. PMID: 24478831; PMCID: PMC3903819.
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Avilés Martínez M, García Cuartero I, de Arriba Méndez J, Rodríguez Galdeano M. Atypical image of pneumoperitoneum secondary to colon perforation. 8180/2021


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Publication history

Received: 27/06/2021

Accepted: 04/07/2021

Online First: 13/07/2021

Published: 07/02/2022

Article Online First time: 16 days

Article editing time: 225 days


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