Christopher De Jesus, MD, Neal Mineyev, MD, Yael Marks, MD, Parswa Ansari, MD. Lenox Hill Hospital
The simultaneous finding of spontaneous pneumoperitoneum, pneumoretroperitoneum, pneumomediastinum and subcutaneous emphysema is an extremely rare presentation. We present a case of a patient in which the workup for abdominal pain resulted in a surprising but rather benign entity. There have been multiple reviews in the literature regarding workup for spontaneous pneumomediastinum, however, there are no recommendations regarding non-operative management for spontaneous and extensive pneumoretroperitoneum. It may seem quite difficult to not undertake aggressive diagnostic workup in a patient with the constellation of signs and symptoms as presented. We present the case in which laparoscopy or further surgical intervention was not pursued and clinical observation was adequate after ruling out obvious perforation with less invasive diagnostic studies. Knowledge about this clinical scenario would avoid unnecessary workup and most importantly, mobilization of operating rooms and invasive diagnostic procedures to find no signs of perforation.
Presented at the SAGES 2017 Annual Meeting in Houston, TX.
Abstract ID: 85445
Program Number: P168
Presentation Session: iPoster Session (Non CME)
Presentation Type: Poster