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Recurrent pneumoperitoneum after hysterectomy.

G D Borowski, A Veloso, B J Nothmann

    Journal of Clinical Gastroenterology
    |February 1, 1983
    PubMed
    Summary
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    Pneumoperitoneum, or free air in the abdomen, often indicates a perforated bowel. However, this case highlights a rare cause: a vaginoperitoneal fistula after hysterectomy.

    Area of Science:

    • Gastroenterology
    • Gynecology
    • Surgical Complications

    Background:

    • Pneumoperitoneum typically suggests a perforated hollow viscus, a common surgical emergency.
    • Less frequent etiologies of abdominal free air require clinical consideration.

    Observation:

    • A case of pneumoperitoneum was observed in a patient post-hysterectomy.
    • The free air was attributed to a vaginoperitoneal fistula.

    Findings:

    • A vaginoperitoneal fistula, a rare complication following hysterectomy, can lead to pneumoperitoneum.
    • This condition, while known to gynecologists, is infrequently documented in medical literature.

    Implications:

    • Clinicians should consider rare causes of pneumoperitoneum, including fistulas, especially in post-hysterectomy patients.

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  • Increased awareness of vaginoperitoneal fistulas may improve diagnosis and management of this uncommon cause of free air in the abdomen.