Artikel

A case report of spontaneous pneumoperitoneum after sexual intercourse following a total laparoscopic hysterectomy, bilateral saplingo-oophorectomy and infra-colic omentectomy

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Abstract The finding of pneumoperitoneum on a chest radio-graph is most commonly associated with an underlying viscus perforation (Mularski et al. West J Med 170:41–46,1999). Urgent surgical intervention, in particular emergency laparot-omy, is often required in these cases. However, in 10 % of patients, a perforated viscus is not the precipitating cause of a pneumoperitoneum (referred to as a spontaneous or non-surgical pneumoperitoneum (SP). These cases are rarely asso-ciated with peritonitis and are usually managed conservatively (Mularski et al.West JMed 170:41–46,1999; Pitiakoudis et al. J Med Case Rep 5:86, 2011). We present a case of a 28-year-old female presented to the Accident and Emergency depart-ment with a 6-h history of severe abdominal pain and bilateral shoulder tip pain. She reported that the pain developed 2 h following sexual intercourse. She had undergone a laparoscop-ic total hysterectomy, bilateral saplingo oophorectomy and infra-colicomentectomy for borderlineovarian tumours 25days previ- ously. The most likely cause of this patient’sacute ab-dominal painwas a spontaneous pneumoperitoneumsecondary to sexual activity. Clinicians should be aware with the potential non-surgical causes for the presence of a pneumoperitoneum, particularly in patients who are not presenting with the other characteristic clinical features of an acute gastrointestinal perforation such as peritonitis, fever and elevated white cell
count. These particular patients can be largely managed conservatively.

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Judul Seri

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No. Panggil

Artikel

Penerbit

USA : Springer., 2016

Deskripsi Fisik

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Bahasa

English

ISBN/ISSN

DOI 10.1007/s10397-0

Klasifikasi

NONE

Tipe Isi

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Tipe Media

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Tipe Pembawa

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Edisi

Gynecol Surg (2016) 13:211–214

Subjek

Medicine
spontaneous pneumoperitoneum
laparoscopic hysterectomy
saplingo-oophorectomy
infra-colic omentectomy

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