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Pneumoperitoneum After Hysterectomy
Lt Lyman B. Spaulding, MC;
Comdr Donald G. Gallup, MC
JAMA. 1979;241(8):825.
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| Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings. |
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PNEUMOPERITONEUM usually presents as a surgical emergency owing to perforation of a hollow viscus. Closure of the perforation in the stomach, duodenum, or colon must be accomplished immediately to halt peritoneal contamination. Often celiotomy fails to disclose a perforation site. In these cases, the origin of air has been ascribed to a small perforated duodenal ulcer, a minute leak from a colon diverticulum, a rupture of an emphysematous bleb, or an insufflation of air via the female genital tract in association with postpartum exercises, douching, and even pelvic examination.1 Oral-genital sex, normal daily exercises, salpingitis, and prolapsed fallopian tube have also been reported in conjunction with pneumoperitoneum.2 The following case is unusual, as the pneumoperitoneum occurred one year after hysterectomy.
Report of a Case
A 34-year-old woman, gravida 3, para 3, came to the emergency room complaining of severe abdominal pain that radiated to her left shoulder when
. . . [Full Text PDF of this Article]
Author Affiliations
USNR; USN
From the Obstetrics and Gynecology Service, Naval Regional Medical Center, Portsmouth, Va.
Footnotes
The opinions or assertions contained herein are those of the authors and are not to be construed as official or reflecting the views of the Department of the Navy or of the Department of Defense.
Reprint requests to Department of Obstetrics and Gynecology, Naval Regional Medical Center, Portsmouth, VA 23708 (Lt Spaulding).
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