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Awe AM, Burke LM, Long M, Natarajan B, Overby DW, Campbell S. Idiopathic Spontaneous Pneumoperitoneum and Call for a Multi-Institutional Database. ACG Case Rep J 2023; 10:e01208. [PMID: 38025844 PMCID: PMC10651345 DOI: 10.14309/crj.0000000000001208] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/25/2023] [Accepted: 10/18/2023] [Indexed: 12/01/2023] Open
Abstract
Idiopathic spontaneous pneumoperitoneum (ISP) refers to intraperitoneal air of unknown origin when other more common etiologies such as traumatic, intrathoracic, and gynecologic etiologies have been excluded. We present a case of a 42-year-old woman with insignificant history presenting with ISP who underwent exploratory laparoscopy and thorough diagnostic workup that was ultimately unrevealing. This case report adds to the existing literature of ISP, and the authors recommend initiating a multi-institutional database to improve our understanding of ISP and contribute to developing consensus guidelines for presumed ISP.
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Affiliation(s)
- Adam M. Awe
- Department of Surgery, University of North Carolina, Chapel Hill, NC
| | - Lauren M.B. Burke
- Department of Radiology, University of North Carolina, Chapel Hill, NC
| | - Millie Long
- Division of Gastroenterology, Department of Medicine, University of North Carolina, Chapel Hill, NC
| | - Brahma Natarajan
- Division of Gastroenterology, Department of Medicine, University of North Carolina, Chapel Hill, NC
| | - David W. Overby
- Department of Surgery, University of North Carolina, Chapel Hill, NC
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Thompson JS, Mannon P. Celiac disease and the surgeon. Am J Surg 2022; 224:332-338. [PMID: 35221098 DOI: 10.1016/j.amjsurg.2022.02.048] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/28/2021] [Revised: 02/14/2022] [Accepted: 02/16/2022] [Indexed: 11/16/2022]
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Gurrado A, Giungato S, Catacchio I, Piscitelli D, Arborea G, Piccinni G, Testini M, Vacca A. Jejunal overexpression of peptide YY in celiac disease complicated with pneumatosis cystoides intestinalis. Clin Exp Med 2014; 15:527-32. [PMID: 25291987 DOI: 10.1007/s10238-014-0314-5] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/25/2014] [Accepted: 09/16/2014] [Indexed: 01/19/2023]
Abstract
A 61-year old man with coeliac disease and chronic lack of appetite, malabsorption and weight loss, despite the gluten-free diet, was operated because of a sub-diaphragmatic free air due to a small-bowel pneumatosis cystoides intestinalis (PCI). The jejunum showed granulomatous lesions with a honeycombed appearance of air cysts in the submucosa/subserosa. We found overexpression of peptide YY (PYY) into only the jejunum with PCI, while the expression was very weak or absent in the tissue without cysts. One year after surgery, he had no abdominal pain or PCI recurrence. The above chronic symptoms were plausibly attributable to the PYY.
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Affiliation(s)
- Angela Gurrado
- Unit of Endocrine, Digestive and Emergency Surgery, Department of Biomedical Sciences and Human Oncology, University of Bari Medical School, Policlinico, Piazza Giulio Cesare, 11, 70124, Bari, Italy
| | - Simone Giungato
- Unit of Endocrine, Digestive and Emergency Surgery, Department of Biomedical Sciences and Human Oncology, University of Bari Medical School, Policlinico, Piazza Giulio Cesare, 11, 70124, Bari, Italy
| | - Ivana Catacchio
- Internal Medicine Units, Department of Biomedical Sciences and Human Oncology, University of Bari Medical School, 70124, Bari, Italy
| | - Domenico Piscitelli
- Unit of Pathology, Department of Emergency Surgery and Organ Transplantation, University Medical School, 70124, Bari, Italy
| | - Graziana Arborea
- Unit of Pathology, Department of Emergency Surgery and Organ Transplantation, University Medical School, 70124, Bari, Italy
| | - Giuseppe Piccinni
- Unit of Endocrine, Digestive and Emergency Surgery, Department of Biomedical Sciences and Human Oncology, University of Bari Medical School, Policlinico, Piazza Giulio Cesare, 11, 70124, Bari, Italy
| | - Mario Testini
- Unit of Endocrine, Digestive and Emergency Surgery, Department of Biomedical Sciences and Human Oncology, University of Bari Medical School, Policlinico, Piazza Giulio Cesare, 11, 70124, Bari, Italy.
| | - Angelo Vacca
- Internal Medicine Units, Department of Biomedical Sciences and Human Oncology, University of Bari Medical School, 70124, Bari, Italy
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Altaf MA, Grunow JE. Atypical presentations of celiac disease: recurrent intussusception and pneumatosis intestinalis. Clin Pediatr (Phila) 2008; 47:289-92. [PMID: 18057156 DOI: 10.1177/0009922807307922] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/28/2022]
Affiliation(s)
- Muhammad A Altaf
- Department of Pediatrics, University of Oklahoma Health Sciences Center, Oklahoma City, Oklahoma, USA
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