{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,30]],"date-time":"2025-10-30T07:03:39Z","timestamp":1761807819424},"reference-count":16,"publisher":"Akademiai Kiado Zrt.","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["MaSeb"],"published-print":{"date-parts":[[2013,4,1]]},"abstract":"<jats:title>Absztrakt<\/jats:title><jats:p>Intraperitonealis szabad leveg\u0151 leggyakrabban valamely \u00fcreges szerv perforati\u00f3ja kapcs\u00e1n alakul ki, \u00e9s azonnali seb\u00e9szeti beavatkoz\u00e1st ig\u00e9nyel. Az esetek kb. 10 sz\u00e1zal\u00e9k\u00e1ban a pneumoperitoneum intakt gastrointestinalis traktus mellett is kialakulhat, ilyenkor \u201enem seb\u00e9szi\u201d (nonsurgical, NS) pneumoperitoneumr\u00f3l besz\u00e9l\u00fcnk, \u00e9s \u00e1ltal\u00e1ban konzervat\u00edv m\u00f3don kezelend\u0151. A NS pneumoperitoneum a szabad hasi leveg\u0151 eredete alapj\u00e1n az al\u00e1bbi csoportokba sorolhat\u00f3: abdominalis, thoracalis, gynecologiai \u00e9s idiopathi\u00e1s. K\u00f6zlem\u00e9ny\u00fcnkben a gynecologiai eredet\u0171 NS pneumoperitoneum kialakul\u00e1s\u00e1nak ritka eset\u00e9t mutatjuk be. Egy 61 \u00e9ves, kor\u00e1bban hysterectomi\u00e1n \u00e1tesett n\u0151beteg diff\u00faz hasi f\u00e1jdalom ok\u00e1n ker\u00fclt felv\u00e9telre, emellett egy\u00e9b panasza nem volt. Az elk\u00e9sz\u00fclt rtg.-vizsg\u00e1lat a rekeszek alatt szabad leveg\u0151t \u00edrt le. A klinikai k\u00e9p alapj\u00e1n explorati\u00f3t v\u00e9gezt\u00fcnk, de perforati\u00f3ra vagy peritonitisre utal\u00f3 elv\u00e1ltoz\u00e1st nem tal\u00e1ltunk. A beteg v\u00e9g\u00fcl t\u00f6bbsz\u00f6ri r\u00e1k\u00e9rdez\u00e9sre elmondta, hogy f\u00e1jdalmai egy jacuzziban kezd\u0151dtek. Felt\u00e9telez\u00e9s\u00fcnk szerint a leveg\u0151 a magasnyom\u00e1s\u00fa pezsg\u0151f\u00fcrd\u0151 hat\u00e1s\u00e1ra a h\u00fcvelyen kereszt\u00fcl pr\u00e9sel\u0151dhetett fel a has\u00fcregbe. A posztoperat\u00edv szakban v\u00e9gzett n\u0151gy\u00f3gy\u00e1szati vizsg\u00e1lat sor\u00e1n vaginoperitonealis fistula igazol\u00f3dott, \u00edgy bizonyoss\u00e1 v\u00e1lt a pneumoperitoneum kialakul\u00e1s\u00e1nak mechanizmusa. \u00c1ltal\u00e1noss\u00e1gban elmondhat\u00f3, hogy a NS pneumoperitoneum eseteiben hi\u00e1nyoznak a peritonealis izgalmi jelek \u00e9s a peritonitisre utal\u00f3 egy\u00e9b t\u00fcnetek. A r\u00e9szletes anamnaesisfelv\u00e9tellel \u00e9s fizik\u00e1lis vizsg\u00e1lattal elker\u00fclhetj\u00fck a sz\u00fcks\u00e9gtelen seb\u00e9szeti beavatkoz\u00e1sokat.<\/jats:p>","DOI":"10.1556\/maseb.66.2013.2.2","type":"journal-article","created":{"date-parts":[[2013,4,17]],"date-time":"2013-04-17T01:50:31Z","timestamp":1366163431000},"page":"62-66","source":"Crossref","is-referenced-by-count":2,"title":["Jacuzzihaszn\u00e1latot k\u00f6vet\u0151en kialakult pneumoperitoneum, avagy a szabad hasi leveg\u0151 keletkez\u00e9s\u00e9nek ritka esete"],"prefix":"10.1556","volume":"66","author":[{"given":"\u00c1kos","family":"Farics","sequence":"first","affiliation":[{"name":"1 \u00c1ltal\u00e1nos Seb\u00e9szeti Oszt\u00e1ly, Kanizsai Dorottya K\u00f3rh\u00e1z, 8800, Nagykanizsa, Szekeres J\u00f3zsef u. 2\u20138."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"\u00c9va","family":"Simon","sequence":"additional","affiliation":[{"name":"1 \u00c1ltal\u00e1nos Seb\u00e9szeti Oszt\u00e1ly, Kanizsai Dorottya K\u00f3rh\u00e1z, 8800, Nagykanizsa, Szekeres J\u00f3zsef u. 2\u20138."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Krisztina","family":"Parti","sequence":"additional","affiliation":[{"name":"1 \u00c1ltal\u00e1nos Seb\u00e9szeti Oszt\u00e1ly, Kanizsai Dorottya K\u00f3rh\u00e1z, 8800, Nagykanizsa, Szekeres J\u00f3zsef u. 2\u20138."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J\u00f3zsef","family":"B\u00e1torfi","sequence":"additional","affiliation":[{"name":"1 \u00c1ltal\u00e1nos Seb\u00e9szeti Oszt\u00e1ly, Kanizsai Dorottya K\u00f3rh\u00e1z, 8800, Nagykanizsa, Szekeres J\u00f3zsef u. 2\u20138."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"425","reference":[{"key":"1","doi-asserted-by":"crossref","first-page":"709","DOI":"10.1001\/archsurg.1988.01400300051008","article-title":"Pneumoperitoneum and its association with ruptured abdominal viscus","volume":"123","author":"Winek TG","year":"1988","journal-title":"Arch Surg"},{"key":"2","doi-asserted-by":"crossref","first-page":"2638","DOI":"10.1097\/00003246-200007000-00078","article-title":"Pneumoperitoneum: a review of nonsurgical causes","volume":"28","author":"Mularski RA","year":"2000","journal-title":"Crit Care Med"},{"key":"3","first-page":"41","article-title":"Nonsurgical causes of pneumoperitoneum","volume":"170","author":"Mularski RA","year":"1999","journal-title":"West J Med"},{"key":"4","doi-asserted-by":"crossref","first-page":"89","DOI":"10.1016\/S0301-2115(01)00500-0","article-title":"Sexual trauma \u2013 an unusual cause of a vesicovaginal fistula","volume":"101","author":"Roy KK","year":"2002","journal-title":"Eur J Obstet Gynecol Reprod Biol"},{"key":"5","doi-asserted-by":"crossref","first-page":"51","DOI":"10.1017\/S148180350001294X","article-title":"Acute pneumoperitoneum following coitus","volume":"7","author":"Manchanda R","year":"2005","journal-title":"CJEM"},{"key":"6","first-page":"350","article-title":"Pneumoperitoneum following Jacuzzi usage","volume":"82","author":"Inston N","year":"2000","journal-title":"Ann R Coll Surg Engl"},{"key":"7","doi-asserted-by":"crossref","first-page":"259","DOI":"10.1007\/s10140-004-0330-y","article-title":"Jacuzzi jet-induced pneumoperitoneum","volume":"10","author":"Williams T","year":"2004","journal-title":"Emergency Radiology"},{"key":"8","doi-asserted-by":"crossref","first-page":"257","DOI":"10.1016\/0020-7292(89)90265-8","article-title":"Pneumoperitoneum due to peritoneovaginal fistula following hysterectomy","volume":"29","author":"Massad LS","year":"1989","journal-title":"Int J Gynaecol Obstet"},{"key":"9","doi-asserted-by":"crossref","first-page":"430","DOI":"10.1177\/000313480206800507","article-title":"Pneumoperitoneum after rough sexual intercourse","volume":"68","author":"Johnson EK","year":"2002","journal-title":"Am Surg"},{"key":"10","first-page":"319","article-title":"Postcoital vaginoperitoneal fistula after hysterectomy for gynecological malignancy","volume":"3(3)","author":"Singla S","year":"2010","journal-title":"Journal of Emergencies, Trauma & Shock"},{"key":"11","doi-asserted-by":"crossref","first-page":"819","DOI":"10.1007\/s00383-005-1489-3","article-title":"Does pneumoperitoneum always require laparotomy? 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