Conservative treatment of idiopathic spontaneous pneumoperitoneum in a bedridden patient: a case report

CONTEXT: Bluish discoloration and swelling of the scrotum in newborns can arise from a number of diseases, including torsion of the testes, orchitis, scrotal or testicular edema, hydrocele, inguinal hernia, meconium peritonitis, hematocele, testicular tumor and traumatic hematoma. Forty-two cases of scrotal abnormalities as signs of neonatal adrenal hemorrhage were found in the literature. CASE REPORT: We present a case of scrotal hematoma due to adrenal hemorrhage in a newborn. Conservative treatment with clinical follow-up was adopted, with complete resolution within 10 days. The possible differential diagnoses are reviewed and discussed.

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Laparoscopic Adnexectomy for Ovarian Torsion during Late Pregnancy: Case Report of a Non-Conservative Treatment and Literature Analysis

Frontiers in Surgery ◽

10.3389/fsurg.2017.00050 ◽

2017 ◽

Vol 4 ◽

Cited By ~ 5

Author(s):

Jean Bouquet de Joliniere ◽

J. B. Dubuisson ◽

F. Khomsi ◽

A. Fadhlaoui ◽

G. Grant ◽

...

Keyword(s):

Case Report ◽

Conservative Treatment ◽

Late Pregnancy ◽

Ovarian Torsion ◽

Literature Analysis

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Successful conservative treatment of a poly-4-hydroxybutyrate mesh infection: A case report

Annals of Medicine and Surgery ◽

10.1016/j.amsu.2021.02.008 ◽

2021 ◽

Vol 63 ◽

pp. 102162

Author(s):

Maarten Lambrecht ◽

Tim Tollens

Keyword(s):

Case Report ◽

Conservative Treatment ◽

Mesh Infection

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Conservative treatment of paraplegia following acute trauma in a patient with tuberculous kyphosis: case report and review of the literature

Spinal Cord ◽

10.1038/sc.1985.32 ◽

1985 ◽

Vol 23 (3) ◽

pp. 187-191

Author(s):

K M Chan ◽

P C Leung

Keyword(s):

Case Report ◽

Conservative Treatment ◽

Review Of The Literature ◽

Acute Trauma

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Spontaneous pneumoperitoneum with duodenal diverticulosis in an elderly patient: a case report

Surgical Case Reports ◽

10.1186/s40792-019-0769-4 ◽

2020 ◽

Vol 6 (1) ◽

Cited By ~ 2

Author(s):

Takeshi Ueda ◽

Tetsuya Tanaka ◽

Takashi Yokoyama ◽

Tomomi Sadamitsu ◽

Suzuka Harada ◽

...

Keyword(s):

Conservative Treatment ◽

Abdominal Cavity ◽

Vital Signs ◽

Rare Condition ◽

Exploratory Laparotomy ◽

Case Presentation ◽

Free Air ◽

Spontaneous Pneumoperitoneum ◽

Upper Abdominal ◽

Emergent Laparotomy

Abstract Background Pneumoperitoneum commonly occurs as a result of a viscus perforation and usually presents with peritoneal signs requiring emergent laparotomy. Spontaneous pneumoperitoneum is a rare condition characterized by intraperitoneal gas with no clear etiology. Case presentation We herein report a case in which conservative treatment was achieved for an 83-year-old male patient with spontaneous pneumoperitoneum that probably occurred due to duodenal diverticulosis. He had stable vital signs and slight epigastric discomfort without any other signs of peritonitis. A chest radiograph and computed tomography showed that a large amount of free gas extended into the upper abdominal cavity. Esophagogastroduodenoscopy showed duodenal diverticulosis but no perforation of the upper gastrointestinal tract. He was diagnosed with spontaneous pneumoperitoneum, and conservative treatment was selected. His medical course was uneventful, and pneumoperitoneum disappeared after 6 months. Conclusion In the management of spontaneous pneumoperitoneum, recognition of this rare condition and an accurate diagnosis based on symptoms and clinical imaging might contribute to reducing the performance of unnecessary laparotomy. However, in uncertain cases with peritoneal signs, spontaneous pneumoperitoneum is difficult to differentiate from free air resulting from gastrointestinal perforation and emergency exploratory laparotomy should be considered for these patients.

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