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Spontaneous Pneumoperitoneum in Systemic Sclerosis: A Case Report

摘要


Scleroderma or systemic sclerosis is a chronic, multisystem autoimmune disorder manifested by fibrosis of the skin, blood vessels, muscles, and internal organs. Herein, we present a case of a 51-year-old woman with past history of rheumatoid arthritis and systemic sclerosis for many years. She presented to emergency department with nausea, vomiting, and painless abdominal fullness for 5 days. Computed tomography revealed spontaneous pneumoperitoneum by depicting triangle sign, Rigler sign and dilated bowel loops, but without ascites or pneumatosis intestinalis. Then conservative management was initiated. Follow-up imaging studies showed intra-abdominal free air decreased in volume gradually.

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