May 1995

Chronic Aseptic Spontaneous Pneumoperitoneum Without a Serious Complication in 8 Years

Author Affiliations

From the Austin (Tex) Radiology Association (Dr DeGinder); the Departments of Internal Medicine (Dr Nacol) and General Surgery (Dr Walzel), Georgetown (Tex) Medical Center; and the Department of General Surgery, Round Rock (Tex) Hospital (Dr Walzel). Dr DeGinder is now retired.

Arch Surg. 1995;130(5):557-559. doi:10.1001/archsurg.1995.01430050107019

Spontaneous pneumoperitoneum without signs of peritonitis is rare in men, presenting a dilemma to the surgeon facing this problem in a new patient. A unique case of chronic aseptic spontaneous pneumoperitoneum is presented to illustrate some of the problems of diagnosis and management over a period of more than 8 years in a patient 93 years old at the time of latest follow-up.

(Arch Surg. 1995;130:557-559)