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Incidence of Pneumoperitoneum After Gastrostomy Tube Removal

We present the case of an 88-year-old man with a previous medical history of severe colitis and colonic strictures who presented with hematemesis. The patient was found to have a lower esophageal ulcer without any signs of perforation. Esophagogastroduodenoscopy (EGD) revealed a scar in the greater...

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Autores principales: Mahmoud, Anas, Alyassin, Nizar, Baghal, Eyad, Yuridullah, Ruhin, Cavanagh, Yana, Grossman, Matthew A
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10673697/
https://www.ncbi.nlm.nih.gov/pubmed/38021967
http://dx.doi.org/10.7759/cureus.47684
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author Mahmoud, Anas
Alyassin, Nizar
Baghal, Eyad
Yuridullah, Ruhin
Cavanagh, Yana
Grossman, Matthew A
author_facet Mahmoud, Anas
Alyassin, Nizar
Baghal, Eyad
Yuridullah, Ruhin
Cavanagh, Yana
Grossman, Matthew A
author_sort Mahmoud, Anas
collection PubMed
description We present the case of an 88-year-old man with a previous medical history of severe colitis and colonic strictures who presented with hematemesis. The patient was found to have a lower esophageal ulcer without any signs of perforation. Esophagogastroduodenoscopy (EGD) revealed a scar in the greater curvature of the stomach from a previously removed gastrostomy tube two months prior. On CT imaging, an incidental finding of pneumoperitoneum was also found alongside stomach perforation near the healing scar. Due to the lack of evidence of any other colonic perforation, the patient was believed to have developed this pneumoperitoneum status post-gastrectomy tube removal two months prior to presentation. Pneumoperitoneum has a wide range of presenting symptoms that vary in severity and nature, and our patient failed to present with any physical or laboratory signs of infection. Over the course of the next four months, the patient was monitored with serial CT scans, during which the pneumoperitoneum resolved. In this report, we present a case of a patient who was found to develop pneumoperitoneum post-gastric tube removal and its complete resolution without surgical or procedural intervention.
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spelling pubmed-106736972023-10-25 Incidence of Pneumoperitoneum After Gastrostomy Tube Removal Mahmoud, Anas Alyassin, Nizar Baghal, Eyad Yuridullah, Ruhin Cavanagh, Yana Grossman, Matthew A Cureus Gastroenterology We present the case of an 88-year-old man with a previous medical history of severe colitis and colonic strictures who presented with hematemesis. The patient was found to have a lower esophageal ulcer without any signs of perforation. Esophagogastroduodenoscopy (EGD) revealed a scar in the greater curvature of the stomach from a previously removed gastrostomy tube two months prior. On CT imaging, an incidental finding of pneumoperitoneum was also found alongside stomach perforation near the healing scar. Due to the lack of evidence of any other colonic perforation, the patient was believed to have developed this pneumoperitoneum status post-gastrectomy tube removal two months prior to presentation. Pneumoperitoneum has a wide range of presenting symptoms that vary in severity and nature, and our patient failed to present with any physical or laboratory signs of infection. Over the course of the next four months, the patient was monitored with serial CT scans, during which the pneumoperitoneum resolved. In this report, we present a case of a patient who was found to develop pneumoperitoneum post-gastric tube removal and its complete resolution without surgical or procedural intervention. Cureus 2023-10-25 /pmc/articles/PMC10673697/ /pubmed/38021967 http://dx.doi.org/10.7759/cureus.47684 Text en Copyright © 2023, Mahmoud et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Gastroenterology
Mahmoud, Anas
Alyassin, Nizar
Baghal, Eyad
Yuridullah, Ruhin
Cavanagh, Yana
Grossman, Matthew A
Incidence of Pneumoperitoneum After Gastrostomy Tube Removal
title Incidence of Pneumoperitoneum After Gastrostomy Tube Removal
title_full Incidence of Pneumoperitoneum After Gastrostomy Tube Removal
title_fullStr Incidence of Pneumoperitoneum After Gastrostomy Tube Removal
title_full_unstemmed Incidence of Pneumoperitoneum After Gastrostomy Tube Removal
title_short Incidence of Pneumoperitoneum After Gastrostomy Tube Removal
title_sort incidence of pneumoperitoneum after gastrostomy tube removal
topic Gastroenterology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10673697/
https://www.ncbi.nlm.nih.gov/pubmed/38021967
http://dx.doi.org/10.7759/cureus.47684
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