{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T17:37:13Z","timestamp":1785433033795,"version":"3.56.0"},"reference-count":12,"publisher":"Oxford University Press (OUP)","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,2,3]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>Most cases of pneumoperitoneum with associated peritonitis are due to perforation of a hollow viscus. In cases where hollow viscus perforation is not the cause, the pneumoperitoneum is classified as spontaneous and typically can be further subcategorized into thoracic, abdominal, gynecologic, and idiopathic categories. Spontaneous pneumoperitoneum is classically seen in asymptomatic patients, however in a small number of cases patients can present with a concomitant peritonitis. This case report presents a patient that had signs of sepsis and peritonitis with moderate pneumoperitoneum on computed tomography (CT) imaging but was found to have no perforated hollow viscus after an extensive operative and non-operative work up.<\/jats:p>","DOI":"10.1093\/jscr\/rjae049","type":"journal-article","created":{"date-parts":[[2024,2,17]],"date-time":"2024-02-17T03:02:36Z","timestamp":1708138956000},"source":"Crossref","is-referenced-by-count":9,"title":["Spontaneous pneumoperitoneum presenting as an acute abdomen"],"prefix":"10.1093","volume":"2024","author":[{"given":"Megan","family":"Bedard","sequence":"first","affiliation":[{"name":"Trauma\/Acute Care Surgery, Swedish Medical Center , Englewood, CO 80113 , United States"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Madison","family":"McInnis","sequence":"additional","affiliation":[{"name":"Trauma\/Acute Care Surgery, Swedish Medical Center , Englewood, CO 80113 , United States"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kaysie","family":"Banton","sequence":"additional","affiliation":[{"name":"Trauma\/Acute Care Surgery, Swedish Medical Center , Englewood, CO 80113 , United States"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2024,2,14]]},"reference":[{"key":"2024021703021407900_ref1","doi-asserted-by":"crossref","first-page":"531","DOI":"10.1136\/pgmj.73.863.531","article-title":"Spontaneous pneumoperitoneum and other nonsurgical causes of intraperitoneal free gas","volume":"73","author":"Williams","year":"1997","journal-title":"Postgrad Med J"},{"key":"2024021703021407900_ref2","first-page":"1","article-title":"How to distinguish between surgical and non-surgical pneumoperitoneum?","volume":"9","author":"\u010ce\u010dka","year":"2013","journal-title":"Signa Vitae: J Intensive Care Emerg Med"},{"key":"2024021703021407900_ref3","doi-asserted-by":"crossref","first-page":"224","DOI":"10.1080\/08998280.2021.2013148","article-title":"Idiopathic spontaneous pneumoperitoneum","volume":"35","author":"Deb","year":"2022","journal-title":"Baylor Univ Med Center Proc"},{"key":"2024021703021407900_ref4","first-page":"41","article-title":"Nonsurgical causes of pneumoperitoneum","volume":"170","author":"Mularski","year":"1999","journal-title":"West J Med"},{"key":"2024021703021407900_ref5","first-page":"297","article-title":"Sexual activity as cause for non-surgical pneumoperitoneum","volume":"4","author":"Jacobs","year":"2000","journal-title":"Jsls"},{"key":"2024021703021407900_ref6","doi-asserted-by":"crossref","first-page":"259","DOI":"10.1007\/s10140-004-0330-y","article-title":"Jacuzzi jet-induced pneumoperitoneum","volume":"10","author":"Williams","year":"2004","journal-title":"Emerg Radiol"},{"key":"2024021703021407900_ref7","doi-asserted-by":"crossref","first-page":"e237","DOI":"10.1308\/003588412X13373405385773","article-title":"Abdominal compartment syndrome caused by tension pneumoperitoneum in a scuba diver","volume":"94","author":"Bunni","year":"2012","journal-title":"Ann R Coll Surg Engl"},{"key":"2024021703021407900_ref8","doi-asserted-by":"crossref","first-page":"24","DOI":"10.1097\/00006565-199702000-00008","article-title":"Spontaneous pneumothoraces, pneumomediastinum, and pneumoperitoneum: consequences of smoking crack cocaine","volume":"13","author":"Uva","year":"1997","journal-title":"Pediatr Emerg Care"},{"key":"2024021703021407900_ref9","article-title":"A rare case of spontaneous idiopathic Pneumoperitoneum presenting as abdominal pain","volume":"13","author":"Grewal","year":"2021","journal-title":"Cureus"},{"key":"2024021703021407900_ref10","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":"2024021703021407900_ref11","doi-asserted-by":"crossref","first-page":"265","DOI":"10.1007\/BF00311539","article-title":"Conservative management of idiopathic pneumoperitoneum masquerading as peritonitis: report of a case","volume":"25","author":"Tani","year":"1995","journal-title":"Surg Today"},{"key":"2024021703021407900_ref12","first-page":"164","article-title":"Conservative management of tension pneumoperitoneum","volume":"84","author":"Khan","year":"2002","journal-title":"Ann R Coll Surg Engl"}],"container-title":["Journal of Surgical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2024\/2\/rjae049\/56676867\/rjae049.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2024\/2\/rjae049\/56676867\/rjae049.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,2,17]],"date-time":"2024-02-17T03:02:46Z","timestamp":1708138966000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/jscr\/article\/doi\/10.1093\/jscr\/rjae049\/7606926"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,2]]},"references-count":12,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2024,2,3]]}},"URL":"https:\/\/doi.org\/10.1093\/jscr\/rjae049","relation":{},"ISSN":["2042-8812"],"issn-type":[{"value":"2042-8812","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2024,2]]},"published":{"date-parts":[[2024,2]]},"article-number":"rjae049"}}