Patients with pneumoperitoneum from bowel perforation can present with a range of symptoms from localized abdominal pain to severe abdominal pain with rebound and guarding. This can be a life-threatening surgical emergency associated with end-organ dysfunction due to septic shock.
Management of pneumoperitoneum depends on the underlying etiology and the patient's condition. Treatment can include supportive observation, antibiotics, or emergent surgery with repair of luminal defect.
K66.8 – Other specified disorders of peritoneum
17204006 – Pneumoperitoneum
Differential Diagnosis & Pitfalls
- Small or large bowel obstruction
- Bowel perforation
- Strangulated or incarcerated hernia
- Intestinal volvulus
- Acute appendicitis
- Intraabdominal abscess
- Abdominal malignancy (eg, small bowel or colorectal tumors, lymphoma)
- Connective tissue disorders (eg, systemic sclerosis)
- Inflammatory bowel disease (especially stricturing disease)
Drug Reaction Data