Acute Abdominal Pain and Radiological Pneumoperitoneum - Always an Indication for Laparotomy?

Christopher Buckle, Christopher Holdridge, Tina Xu, Falah Akhwais, Aditya Sinha, Sudeendra Doddi, Prakash Sinha


Pneumoperitoneum in the presence of acute abdominal pain is well recognised as an indication for laparotomy. We present a case of acute abdominal pain in the presence of an incidental pneumoperitoneum secondary to the rupture of pneumatosis intestinalis. We will discuss the importance of clinical context in the diagnosis and management of pneumoperitoneum and pneumatosis intestinalis.



Pneumoperitoneum; Pneumatosis intestinalis; Laparotomy; Conservative management

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