Table of Contents
ISRN Emergency Medicine
Volume 2012, Article ID 480795, 7 pages
http://dx.doi.org/10.5402/2012/480795
Review Article

Self-Limited Pneumoporta in the Era of Computed Tomography: A Case Report and Review of the Literature

Department of Surgery, National Taiwan University Hospital, No. 7 Chung-Shan South Road, 10002 Taipei, Taiwan

Received 25 October 2012; Accepted 18 November 2012

Academic Editors: A. K. Attri, R. Cirocchi, and A. Pazin-Filho

Copyright © 2012 Yu-Tso Liao et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Pneumoporta in patients with abdominal pain has been thought to be suggestive of fatal underlying conditions, such as mesenteric infarct, requiring emergency treatment. Widespread use of computed tomography (CT) has increased the frequency of detection of pneumoporta in patients with diseases other than mesenteric infarct. The natural course of resolution of pneumoporta has been rarely discussed in the literature and mainly focused on patients with iatrogenic diseases. Herein, we report the case of a 64-year-old woman who presented at our emergency department with positive peritoneal signs and pneumoporta. A 10 cm long segment of resolved ischemic bowel was detected on exploratory laparotomy, and bowel resection was not performed. Follow-up CT performed 62 hours later revealed complete resolution of pneumoporta. The patient was discharged uneventfully and was administered short-term prophylactic therapy with enoxaparin for thromboembolism. The epidemiology, etiology, and resolution of pneumoporta are also reviewed.