{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T17:56:50Z","timestamp":1777917410854,"version":"3.51.4"},"reference-count":14,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2010,5,1]],"date-time":"2010-05-01T00:00:00Z","timestamp":1272672000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Journal of Laparoendoscopic &amp; Advanced Surgical Techniques"],"published-print":{"date-parts":[[2010,5,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Pneumoscrotum is a rare condition defined by the presence of gas within the scrotum. Most cases are associated with the pneumoperitoneum; the condition has been described after various diagnostic and therapeutic procedures and disease conditions. In this article, we report a case of a patient admitted to the emergency department for right-upper quadrant abdominal pain. Abdominal X-ray showed free air in the right subdiaphragm; computed tomography (CT) confirmed free air in the abdomen and detected free fluid in the pelvis. The patient underwent laparoscopy, at which time a 1-cm perforation on the anterior wall of the gastric antrum near the pylorus was identified. The perforation was sutured with three detached stitches of reabsorbable material. Approximately 2 days after the surgical procedure, physical examination of the patient showed significant scrotal swelling suspicious for the presence of subcutaneous air. A CT scan confirmed the presence of the pneumoscrotum. The patient returned to the operating room and underwent an exploratory laparotomy. A new perforation was identified beneath the previous one and was sutured with two detached stitches. The patient was discharged uneventfully after 8 days of hospitalization. Pneumoscrotum should be recognized as an early sign of recurrence in patients operated on laparoscopically for peptic ulcer.<\/jats:p>","DOI":"10.1089\/lap.2009.0344","type":"journal-article","created":{"date-parts":[[2010,2,16]],"date-time":"2010-02-16T06:53:43Z","timestamp":1266303223000},"page":"359-361","source":"Crossref","is-referenced-by-count":2,"title":["Pneumoscrotum Due to Perforated Peptic Ulcer Previously Sutured by Laparoscopy"],"prefix":"10.1177","volume":"20","author":[{"given":"Adriana","family":"Toro","sequence":"first","affiliation":[{"name":"University of Catania","place":["Italy"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elia","family":"Pulvirenti","sequence":"additional","affiliation":[{"name":"University of Catania","place":["Italy"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Isidoro","family":"Di Carlo","sequence":"additional","affiliation":[{"name":"University of Catania","place":["Italy"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2010,5,1]]},"reference":[{"key":"e_1_3_2_2_2","article-title":"Pneumoscrotum after jejunal perforation: A case report","author":"Hill TW","year":"2009","unstructured":"Hill TW, , Mills LD, , Butts CJ. Pneumoscrotum after jejunal perforation: A case report. J Emerg Med, 2009in press.","journal-title":"J Emerg Med"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.1007\/s002689900323"},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.1007\/BF00316801"},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.1186\/1471-230X-9-25"},{"key":"e_1_3_2_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/0090-4295(92)90406-M"},{"key":"e_1_3_2_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0039-6109(16)45684-7"},{"key":"e_1_3_2_8_2","first-page":"359","article-title":"The sixth decision regarding perforated duodenal ulcer","volume":"6","author":"Lagoo S","year":"2002","unstructured":"Lagoo S, , McMahon RL, , Kakihara M, , Pappas TN, , Eubanks S. The sixth decision regarding perforated duodenal ulcer. J Soc Laparoendosc Surg, 2002; 6:359\u2013368.","journal-title":"J Soc Laparoendosc Surg"},{"key":"e_1_3_2_9_2","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.5155"},{"key":"e_1_3_2_10_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-003-8266-y"},{"key":"e_1_3_2_11_2","doi-asserted-by":"publisher","DOI":"10.1001\/archsurg.136.1.90"},{"key":"e_1_3_2_12_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0196-0644(05)80122-2"},{"key":"e_1_3_2_13_2","doi-asserted-by":"publisher","DOI":"10.3748\/wjg.v11.i32.5061"},{"key":"e_1_3_2_14_2","first-page":"267","article-title":"Gastric perforation presenting as bilateral scrotal pneumatoceles","volume":"41","author":"Aslan Y","year":"1999","unstructured":"Aslan Y, , Sarihan H, , Dinc H, , Gedik Y, , Aksoy A, , Dereci S. Gastric perforation presenting as bilateral scrotal pneumatoceles. Turk J Pediatr, 1999; 41:267\u2013271.","journal-title":"Turk J Pediatr"},{"key":"e_1_3_2_15_2","doi-asserted-by":"publisher","DOI":"10.1055\/s-2007-999742"}],"container-title":["Journal of Laparoendoscopic &amp; Advanced Surgical Techniques"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1089\/lap.2009.0344","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1089\/lap.2009.0344","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1089\/lap.2009.0344","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T18:13:06Z","timestamp":1777659186000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1089\/lap.2009.0344"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2010,5,1]]},"references-count":14,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2010,5,1]]}},"alternative-id":["10.1089\/lap.2009.0344"],"URL":"https:\/\/doi.org\/10.1089\/lap.2009.0344","relation":{},"ISSN":["1092-6429","1557-9034"],"issn-type":[{"value":"1092-6429","type":"print"},{"value":"1557-9034","type":"electronic"}],"subject":[],"published":{"date-parts":[[2010,5,1]]}}}