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Updated: Jun 25, 2025

Imaging Features of Systemic Sclerosis-Associated Interstitial Lung Disease
Published on: June 16, 2020
Spontaneous pneumoperitoneum in the absence of visceral perforation in a patient with systemic sclerosis: a case
Pablo A Martínez-Garza1, Daniel G Hermosillo-Cornejo1, Perla X López-Almanza2
1Departamento de Cirugía General, Fundación Clínica Médica Sur.
Abstract:
We present the case of a 44 year old woman with systemic sclerosis who presented with intense abdominal pain without signs of peritonitis. An abdominal computed tomography showed generalized intestinal dilation, intestinal pneumatosis and an extensive pneumoperitoneum. A diagnostic laparoscopy was performed but no perforation nor gastrointestinal leakage were found. Spontaneous pneumoperitoneum in patients with systemic sclerosis without visceral perforation is an extremely rare complication. Physicians must have a low threshold of suspicion for this entity when a patient with systemic sclerosis presents with spontaneous pneumoperitoneum in the absence of peritoneal signs.
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