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Conservative management of pneumatosis intestinalis and massive pneumoperitoneum in the acute abdomen: a case report.

Brill, SE; Skipworth, J; Stoker, DL; (2008) Conservative management of pneumatosis intestinalis and massive pneumoperitoneum in the acute abdomen: a case report. Ann R Coll Surg Engl , 90 (2) W11 - W13. 10.1308/147870808X257193.

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Abstract

We present a case of massive pneumoperitoneum in association with pneumatosis intestinalis that was successfully managed without surgery despite a clinical picture of an acute abdomen and biochemical evidence of inflammation and systemic upset. Recognition of non-surgical pneumoperitoneum is important to avoid unnecessary laparotomy, and clinical examination for the presence of peritonitis is the most important determinant of the need for emergency surgery.

Type:Article
Title:Conservative management of pneumatosis intestinalis and massive pneumoperitoneum in the acute abdomen: a case report.
Location:England
DOI:10.1308/147870808X257193
Language:English
Additional information:PMCID: PMC2443298
Keywords:Abdomen, Acute, Adult, Humans, Male, Pneumatosis Cystoides Intestinalis, Pneumoperitoneum, Tomography, X-Ray Computed
UCL classification:UCL > School of Life and Medical Sciences > Faculty of Medical Sciences > Surgery and Interventional Science (Division of)

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