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Cirugía y cirujanos
versión On-line ISSN 2444-054Xversión impresa ISSN 0009-7411
Resumen
MARTINEZ-GARZA, Pablo A. et al. Spontaneous pneumoperitoneum in the absence of visceral perforation in a patient with systemic sclerosis: a case report. Cir. cir. [online]. 2024, vol.92, n.2, pp.271-275. Epub 02-Ago-2024. ISSN 2444-054X. https://doi.org/10.24875/ciru.22000182.
We present the case of a 44 year old woman with systemic sclerosis who presented with intense abdominal pain without signs of peritonitis. An abdominal computed tomography showed generalized intestinal dilation, intestinal pneumatosis and an extensive pneumoperitoneum. A diagnostic laparoscopy was performed but no perforation nor gastrointestinal leakage were found. Spontaneous pneumoperitoneum in patients with systemic sclerosis without visceral perforation is an extremely rare complication. Physicians must have a low threshold of suspicion for this entity when a patient with systemic sclerosis presents with spontaneous pneumoperitoneum in the absence of peritoneal signs.
Palabras llave : Pneumoperitoneum; Spontaneous pneumoperitoneum; Systemic sclerosis; Scleroderma.