Idiopathic pneumoperitoneum in infants: A management dilemma and a literature review
Idiopathic pneumoperitoneum is a rare, benign condition that mimics gastrointestinal perforation on radiographic imaging. Differentiating between medical and surgical pneumoperitoneum is challenging but crucial.We report a case of a 3-month-old boy who presented with massive pneumoperitoneum. The X-...
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| Format: | Article |
| Language: | English |
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Elsevier
2025-09-01
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| Series: | Radiology Case Reports |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S1930043325004637 |
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| author | Arije Zouaoui Yasmine Houas Fatma Thamri Senda Houidi Riadh Jouini |
| author_facet | Arije Zouaoui Yasmine Houas Fatma Thamri Senda Houidi Riadh Jouini |
| author_sort | Arije Zouaoui |
| collection | DOAJ |
| description | Idiopathic pneumoperitoneum is a rare, benign condition that mimics gastrointestinal perforation on radiographic imaging. Differentiating between medical and surgical pneumoperitoneum is challenging but crucial.We report a case of a 3-month-old boy who presented with massive pneumoperitoneum. The X-ray showed the pathognomonic “football sign.” Idiopathic pneumoperitoneum was not initially considered, leading to surgical intervention.Spontaneous idiopathic pneumoperitoneum is rare beyond the neonatal period. Awareness of this condition, especially in specific scenarios such as mechanical ventilation or concurrent pneumothorax/pneumomediastinum, should be raised to avoid unnecessary and potentially risky surgery. |
| format | Article |
| id | doaj-art-e68f902eca954671990462f201af5ad2 |
| institution | Kabale University |
| issn | 1930-0433 |
| language | English |
| publishDate | 2025-09-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Radiology Case Reports |
| spelling | doaj-art-e68f902eca954671990462f201af5ad22025-08-20T03:50:22ZengElsevierRadiology Case Reports1930-04332025-09-012094400440310.1016/j.radcr.2025.05.030Idiopathic pneumoperitoneum in infants: A management dilemma and a literature reviewArije Zouaoui0Yasmine Houas1Fatma Thamri2Senda Houidi3Riadh Jouini4Pediatric Surgery “A” Department, Tunis El Manar University, Bechir Hamza Children’s Hospital, Tunis, Tunisia; Tunis El Manar University, Tunis, TunisiaPediatric Surgery “A” Department, Tunis El Manar University, Bechir Hamza Children’s Hospital, Tunis, Tunisia; Tunis El Manar University, Tunis, Tunisia; Corresponding author.Pediatric Surgery “A” Department, Tunis El Manar University, Bechir Hamza Children’s Hospital, Tunis, Tunisia; Tunis El Manar University, Tunis, TunisiaPediatric Surgery “A” Department, Tunis El Manar University, Bechir Hamza Children’s Hospital, Tunis, Tunisia; Tunis El Manar University, Tunis, TunisiaPediatric Surgery “A” Department, Tunis El Manar University, Faculty of Medicine of Tunis, Bechir Hamza Children’s Hospital, Tunis, TunisiaIdiopathic pneumoperitoneum is a rare, benign condition that mimics gastrointestinal perforation on radiographic imaging. Differentiating between medical and surgical pneumoperitoneum is challenging but crucial.We report a case of a 3-month-old boy who presented with massive pneumoperitoneum. The X-ray showed the pathognomonic “football sign.” Idiopathic pneumoperitoneum was not initially considered, leading to surgical intervention.Spontaneous idiopathic pneumoperitoneum is rare beyond the neonatal period. Awareness of this condition, especially in specific scenarios such as mechanical ventilation or concurrent pneumothorax/pneumomediastinum, should be raised to avoid unnecessary and potentially risky surgery.http://www.sciencedirect.com/science/article/pii/S1930043325004637InfantPneumoperitoneumSurgery |
| spellingShingle | Arije Zouaoui Yasmine Houas Fatma Thamri Senda Houidi Riadh Jouini Idiopathic pneumoperitoneum in infants: A management dilemma and a literature review Radiology Case Reports Infant Pneumoperitoneum Surgery |
| title | Idiopathic pneumoperitoneum in infants: A management dilemma and a literature review |
| title_full | Idiopathic pneumoperitoneum in infants: A management dilemma and a literature review |
| title_fullStr | Idiopathic pneumoperitoneum in infants: A management dilemma and a literature review |
| title_full_unstemmed | Idiopathic pneumoperitoneum in infants: A management dilemma and a literature review |
| title_short | Idiopathic pneumoperitoneum in infants: A management dilemma and a literature review |
| title_sort | idiopathic pneumoperitoneum in infants a management dilemma and a literature review |
| topic | Infant Pneumoperitoneum Surgery |
| url | http://www.sciencedirect.com/science/article/pii/S1930043325004637 |
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