Neumoperitoneo espontáneo no quirúrgico tras intubación orotraqueal. Presentación de caso y revisión de la literatura

Abstract

Pneumoperitoneum is a potentially serious entity that in most cases is secondary to abdominal injury. However, in 5-15% of cases it is not secondary to injury, giving rise to what has been called benign, idiopathic or non-surgical pneumoperitoneum. The causes of benign pneumoperitoneum are multiple, both of abdominal and thoracic origin or others. The management and diagnosis of these patients constitutes a challenge, generally performing an urgent laparotomy in the presence of pneumoperitoneum. However, in selected cases and taking into account the clinical history, analytical, radiological and examination data, conservative management can be opted for.

We present the case of a 61-year-old patient who, after orotracheal intubation, presented spontaneous pneumoperitoneum, which was managed conservatively with good evolution from the abdominal point of view.