{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,21]],"date-time":"2026-03-21T07:54:49Z","timestamp":1774079689217,"version":"3.50.1"},"reference-count":9,"publisher":"Oxford University Press (OUP)","issue":"5","license":[{"start":{"date-parts":[[2023,5,16]],"date-time":"2023-05-16T00:00:00Z","timestamp":1684195200000},"content-version":"vor","delay-in-days":15,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2023,5,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>Spontaneous idiopathic pneumoperitoneum (SIP) is a rare condition in the surgical practice. We introduce a case of an alcoholic male who presented with nausea, vomiting and diarrhea without clinical signs of peritonitis. A computed tomography of the abdomen showed free air distributed mainly along the ascending colon. We performed an emergency laparoscopy, which revealed no signs of perforation or bowl ischemia but showed air bubbles in the mesentery along the ascending colon. Subsequent endoscopy revealed unclassified inflammatory bowel disease manifesting in the rectum, erythematous mucosa and epithelialized erosions of the stomach. The patient discharged himself on Day 8 after the surgery. The causes of SIP are unknown, but some authors assume microperforation. SIP can be a challenge for the choice of therapy. Laparoscopy may be particularly beneficial in patients with generalized peritonitis, while patients with moderate symptoms may benefit from conservative treatment.<\/jats:p>","DOI":"10.1093\/jscr\/rjad250","type":"journal-article","created":{"date-parts":[[2023,5,16]],"date-time":"2023-05-16T13:34:57Z","timestamp":1684244097000},"source":"Crossref","is-referenced-by-count":1,"title":["Pneumoperitoneum: always a surgical case?"],"prefix":"10.1093","volume":"2023","author":[{"given":"Andreea","family":"Sandica","sequence":"first","affiliation":[{"name":"Ruhr-University Bochum, Knappschaftskrankenhaus Department of Surgery, , Bochum, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Djawid","family":"Baraksei","sequence":"additional","affiliation":[{"name":"Ruhr-University Bochum, Knappschaftskrankenhaus Department of Internal Medicine, , Bochum, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sabeth","family":"H\u00fcsken","sequence":"additional","affiliation":[{"name":"Ruhr-University Bochum, Knappschaftskrankenhaus Department of Radiology, , Bochum, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Richard","family":"Viebahn","sequence":"additional","affiliation":[{"name":"Ruhr-University Bochum, Knappschaftskrankenhaus Department of Surgery, , Bochum, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Iurii","family":"Snopok","sequence":"additional","affiliation":[{"name":"Ruhr-University Bochum, Knappschaftskrankenhaus Department of Surgery, , Bochum, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2023,5,13]]},"reference":[{"key":"2023051613344639500_ref1","first-page":"41","article-title":"Nonsurgical causes of pneumoperitoneum","volume":"170","author":"Mularski","year":"1999","journal-title":"West J Med"},{"key":"2023051613344639500_ref2","article-title":"Recurrent idiopathic spontaneous pneumoperitoneum: a case report","volume":"14","author":"Velez","year":"2022","journal-title":"Cureus"},{"key":"2023051613344639500_ref3","doi-asserted-by":"crossref","DOI":"10.1093\/jscr\/rjt071","article-title":"Spontaneous idiopathic recurrent pneumoperitoneum","volume":"2013","author":"McLaren","year":"2013","journal-title":"J Surg Case Rep"},{"key":"2023051613344639500_ref4","article-title":"A rare case of spontaneous idiopathic pneumoperitoneum presenting as abdominal pain","volume":"13","author":"Grewal","year":"2021","journal-title":"Cureus"},{"key":"2023051613344639500_ref5","first-page":"224","article-title":"Idiopathic spontaneous pneumoperitoneum","volume":"35","author":"Deb","year":"2022","journal-title":"Proc (Bayl Univ Med Cent)"},{"key":"2023051613344639500_ref6","doi-asserted-by":"crossref","first-page":"921","DOI":"10.1001\/jama.1983.03330310051026","article-title":"Spontaneous bacterial peritonitis and pneumoperitoneum. A false surgical emergency","volume":"249","author":"Woelfel","year":"1983","journal-title":"JAMA"},{"key":"2023051613344639500_ref7","doi-asserted-by":"crossref","first-page":"e11","DOI":"10.1378\/chest.13-2997","article-title":"Patient with cirrhosis and presumed spontaneous bacterial peritonitis","volume":"146","author":"Jones","year":"2014","journal-title":"Chest"},{"key":"2023051613344639500_ref8","doi-asserted-by":"crossref","first-page":"33","DOI":"10.1016\/j.ijscr.2020.09.149","article-title":"The enigma of asymptomatic idiopathic pneumoperitoneum: a dangerous trap for general surgeons","volume":"76","author":"Sidiqi","year":"2020","journal-title":"Int J Surg Case Rep"},{"key":"2023051613344639500_ref9","doi-asserted-by":"crossref","DOI":"10.1016\/j.ijscr.2021.106463","article-title":"Management of incidentally detected idiopathic pneumoperitoneum: a case report and literature review","volume":"87","author":"Sakaguchi","year":"2021","journal-title":"Int J Surg Case Rep"}],"container-title":["Journal of Surgical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2023\/5\/rjad250\/50311838\/rjad250.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2023\/5\/rjad250\/50311838\/rjad250.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,5,16]],"date-time":"2023-05-16T13:35:05Z","timestamp":1684244105000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/jscr\/article\/doi\/10.1093\/jscr\/rjad250\/7161765"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,5,1]]},"references-count":9,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2023,5,1]]}},"URL":"https:\/\/doi.org\/10.1093\/jscr\/rjad250","relation":{},"ISSN":["2042-8812"],"issn-type":[{"value":"2042-8812","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2023,5]]},"published":{"date-parts":[[2023,5,1]]},"article-number":"rjad250"}}