NHÂN 3 TRƯỜNG HỢP TRÀN KHÍ Ổ BỤNG KHÔNG RÕ NGUYÊN NHÂN VỚI ĐAU BỤNG CẤP TÍNH ĐƯỢC ĐIỀU TRỊ TẠI KHOA NGOẠI TỔNG HỢP – BỆNH VIỆN 19-8

Abstract

Pneumoperitoneum is usually caused by gastrointestinal perforation, presenting clinically with symptoms of peritonitis, for which the appropriate indication is surgical intervention to repair the lesion and perform peritoneal lavage and drainage. However, spontaneous pneumoperitoneum not caused by hollow viscus perforation is a rare clinical condition, which may be related to thoracic, intra-abdominal, gynecological diseases, medical interventions, or other causes. In this report, we present a case series including three patients with pneumoperitoneum of unknown origin admitted with acute abdominal pain, all of whom were successfully treated with surgery and peritoneal drainage. Pneumoperitoneum of unclear etiology is a rare but clinically significant condition. Diagnosis without surgical exploration is often challenging. Diagnostic laparoscopy is considered the optimal approach to rule out cases of pneumoperitoneum with identifiable causes.