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      Three cases of intra‐abdominal free air onset associated with COPD treated conservatively

      case-report

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          There is no author summary for this article yet. Authors can add summaries to their articles on ScienceOpen to make them more accessible to a non-specialist audience.

          Abstract

          Pneumoperitoneum is caused by respiratory disease in rare cases and can be treated conservatively. It is important to confirm physical abdominal examinations, laboratory data, and radiological findings to avoid unnecessary surgical procedures. The diagnosis of pneumoperitoneum associated with respiratory disease requires the exclusion of other fatal illnesses, especially gastrointestinal perforation.

          Abstract

          Pneumoperitoneum is caused by respiratory disease in rare cases and can be treated conservatively. It is important to confirm physical abdominal examinations, laboratory data, and radiological findings to avoid unnecessary surgical procedures. The diagnosis of pneumoperitoneum associated with respiratory disease requires the exclusion of other fatal illnesses, especially gastrointestinal perforation.

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          Most cited references11

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          Computed tomography in pulmonary emphysema.

          G Laszlo, Kevin Watt, Colin P. Goddard … (1982)
          Fifty-three patients with chronic obstructive airways disease and 19 age-matched controls were studied using computed tomography (CT). The study shows that CT can detect the presence and distribution of pulmonary emphysema. Pulmonary vascular changes detectable on chest radiography correlate well with lung density as measured by CT. Patients with marked CT changes of emphysema had significantly greater impairment of diffusion capacity and FEV1.0/VC than the patients with less severe changes.
          Article 0 comments Cited 95 times – based on 0 reviews     Review now
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            Pneumatosis intestinalis: a new concept.

            R MCCARVER, Johannes J Kovarik, A L DAYWITT … (1961)
            Article 0 comments Cited 25 times – based on 0 reviews     Review now
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              Surgical aspects of pneumatosis cystoides intestinalis: two case reports

              Engelbert Schröpfer, Thomas Meyer (2009)
              Introduction Pneumatosis cystoides intestinalis is a rare disease usually caused by an underlying condition. It is defined as air filled cysts within the wall of the gastrointestinal tract. The purpose of this paper is the development of an algorithm for the surgical therapy of PCI based one two case reports. Case presentations A 17-year-old girl with Down syndrome and leucopenia due to chemotherapy for acute lymphatic leukemia was admitted with acute septic conditions and PCI. Explorative laparotomy revealed acute ischemia of the right colon and resection of the affected intestine was performed. After a short interval in the intensive care unit the patient was referred to the pediatric department. The second patient, a 79 year old man, with urothelial carcinoma and carcinoma of the prostate presented a distended abdomen. CT-scan revealed PCI and adhesive strangulation of intestines. Therefore only adhesiolysis was performed and PCI was treated conservatively. Conclusion Only patients with increased inflammatory parameters in laboratory findings or signs of sepsis, peritonitis or bowel perforation in combination with PCI should receive an explorative laparotomy.
              Article 0 comments Cited 7 times – based on 0 reviews     Review now
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                Author and article information

                Contributors
                Saki Shuto:
                ORCID: https://orcid.org/0000-0003-0390-8658
                saki01_shuto08@yahoo.co.jp
                Journal
                Journal ID (nlm-ta): Clin Case Rep
                Journal ID (iso-abbrev): Clin Case Rep
                Journal ID (doi): 10.1002/(ISSN)2050-0904
                Journal ID (publisher-id): CCR3
                Title: Clinical Case Reports
                Publisher: John Wiley and Sons Inc. (Hoboken )
                ISSN (Electronic): 2050-0904
                Publication date (Electronic): 28 January 2020
                Publication date Collection: March 2020
                Volume: 8
                Issue: 3 ( doiID: 10.1002/ccr3.v8.3 )
                Pages: 428-432
                Affiliations
                [ 1 ] Department of Respiratory Medicine Ijinkai Takeda General Hospital Kyoto Japan
                Author notes
                [*] [* ] Correspondence

                Saki Shuto, Department of Respiratory Medicine, Ijinkai Takeda General Hospital, 28‐1, Ishidamoriminami‐cho, Fushimi‐ku, Kyoto‐shi, Kyoto 601‐1495, Japan.

                Email: saki01_shuto08@ 123456yahoo.co.jp

                Author information
                https://orcid.org/0000-0003-0390-8658
                Article
                Publisher ID: CCR32687
                DOI: 10.1002/ccr3.2687
                PMC ID: 7069865
                SO-VID: e0bb1510-8b61-45fd-91a4-9cdbbf22db03
                Copyright © © 2020 The Authors. Clinical Case Reports published by John Wiley & Sons Ltd.
                License:

                This is an open access article under the terms of the http://creativecommons.org/licenses/by/4.0/ License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.

                History
                Date received : 13 September 2019
                Date revision received : 11 December 2019
                Date accepted : 02 January 2020
                Page count
                Figures: 4, Tables: 2, Pages: 5, Words: 2248
                Categories
                Subject: Case Report
                Subject: Case Reports
                Custom metadata
                source-schema-version-number 2.0
                cover-date March 2020
                details-of-publishers-convertor Converter:WILEY_ML3GV2_TO_JATSPMC version:5.7.7 mode:remove_FC converted:13.03.2020

                Keywords: chronic obstructive pulmonary disease,intra‐abdominal free air,pneumoperitoneum
                Data availability:
                Keywords: chronic obstructive pulmonary disease, intra‐abdominal free air, pneumoperitoneum

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