CASE 551: PNEUMOPERITONEUM POST CTC, Dr PHAN THANH HAI, Dr VO NGUYEN THANH NHAN, MEDIC MEDICAL CENTER, HCMC, VIETNAM.

WOMAN 68YO  WITH  FOBT TEST POSITIVE  TO DO  VIRTUAL CT COLONOGRAPHY. 

REPORT OF CT DETECTED FREE AIR IN ABDOMEN CAVITY, AND NO DETECTED TUMOR IN COLON (SEE  CTC , CT1).

   

CLINICAL EXAMINATION OF THE ABDOMEN IS NOT PAINFUL BY COMPRESSION, NO CHANGE  VITAL STATUS.  

US  SCANNING DETECTED FREE AIR  IN HYPOGASTRIC AREA AND  LIVER BORDER ( US1).

TREATMENT   FOLLOW_UP   THE STATUS  NO EATING BY MOUTH 24 HRS.  REVIEW  AGAIN THE VITAL STATUS  NO PERITONITIS   

MSCT AGAIN  DETECTED THE FREE AIR IN ABDOMEN IS  REABSORPTION (CT2). 

ULTRASOUND OF ABDOMEN AGAIN DON'T SEE  FREE AIR  IN THE PERITONEUM.

CONCLUSION=   CTC  BY CO2  COMPLICATION IS PNEUMOPERITONEUM  NO DETECTED TUMOR IN COLON OR SITE OF PERFORATION. NO NEED OPERATION.

WAIT AND SEE.

REFERENCE : CASE of CAT SCRATCH COLON.