3123 Massive Pneumoperitoneum Following G-Tube: Is Severe Constipation a Risk Factor?

Tracheal injury causing massive pneumoperitoneum following change of a tracheostomy tube.

was then secured in optimal position under bronchoscopic guidance. Post-procedure, her abdomen became grossly distended and tympanic, with no tenderness or guarding. She also had subcutaneous emphysema over her neck and chest wall. A chest radiograph was performed (Fig. 1A). Further computed tomography scans of the chest (Fig. 1B) and abdomen (Fig. 1C) confi rmed the chest radiograph fi ndings....

Massive pneumoperitoneum following colonoscopic sigmoid perforation.

To cite: ElGendy K, Salem A. BMJ Case Rep Published online: [please include Day Month Year] doi:10.1136/bcr-2014204012 DESCRIPTION An 82-year-old man presented with a change in bowel habits and bleeding per rectum with no history of any associated comorbidities. On examination, there was palpable thickening of the rectum. Investigations showed normal carcinoembryonic antigen level and contrast ...

Massive Pneumoperitoneum

An 82-year-old female presented to the emergency department with acute worsening of abdominal pain, which had been present for three months. Her physical exam showed significant signs of considerable abdominal distention, diffuse tenderness, and rigidity. She was unable to change position for upright abdominal radiographs; therefore, a modified portable flat plate abdominal radiograph was obtai...

Spontaneous Pneumoperitoneum due to Constipation.

We report a rare case of spontaneous pneumoperitoneum. An 82-year-old Japanese male patient was referred to our hospital because of constipation and abdominal pain. Abdominal computed tomography revealed a large amount of feces in the colon and rectum, and free air in the abdomen. Based on these findings, the patient was diagnosed with gastrointestinal perforation. Emergency exploratory laparot...

Constipation: is it a risk factor for cholesterol gallstones?