Ahmed Guirat, Ali Rashad, Lojain Fawal, Ahmed Zaid and Hassan Aldossari
Background: We report the first case in the literature of a spontaneous pneumoperitoneum and retropneumoperitoneum.
Case presentation: A 16 year old female, with no previous history of illness, presented in Emmergency Department with brutal acute abdominal pain with septic shock signs. The abdomen computed tomography showed pneumoperitoneum and retro-pneumoperitoneum. The patient was operated by laparoscopy which revealed a moderate purulent ascites but didn’t find any cause of the peritonitis. Post operative care was uneventful and patient was discharged at the 6th post operative day. The ascitic fluid culture was negative.
Conclusion: The laparoscopic approach for acute peritonitis management is very important because it is an efficient tool to diagnose and treat unusual causes of acute spontaneous or primary peritonitis, and permits also to avoid useless laparotomy.
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