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KMID : 0882420110810030366
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Korean Journal of Medicine
2011 Volume.81 No. 3 p.366 ~ p.371
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A Case of Spontaneous Pneumoperitoneum Caused by Giant Bulla
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Lee Key-Jo
Kang Seok-Woo
Park Min-Bom
Jeong Eun-Ho
Kim Jin-Ou
Wang Hee-Bae
Kim Tae-Ho
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Abstract
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A spontaneous pneumoperitoneum is air in the peritoneal space that is detectable radiologically and can be managed successfully by observation alone or a laparotomy. A 73-year-old man was admitted for low back pain. He had a giant bulla in the left upper lung, detected radiologically 7 years earlier. On admission, he had free air in the subphrenic area bilaterally, while the previous giant bulla was not seen. Based on the physical examination, we thought that the new free air did not indicate a surgical abdomen, and performed additional examinations to rule out other disease. There was no abnormal finding linked to the free air. The free air had almost disappeared on a subsequent chest X-ray. We report a rare case of spontaneous pneumoperitoneum caused by a giant bulla, with a literature review.
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KEYWORD
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Pneumoperitoneum, Air
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