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  • Title: Conservative management of pneumatosis intestinalis and massive pneumoperitoneum in the acute abdomen: a case report.
    Author: Brill SE, Skipworth J, Stoker DL.
    Journal: Ann R Coll Surg Engl; 2008 Mar; 90(2):W11-3. PubMed ID: 18325200.
    Abstract:
    We present a case of massive pneumoperitoneum in association with pneumatosis intestinalis that was successfully managed without surgery despite a clinical picture of an acute abdomen and biochemical evidence of inflammation and systemic upset. Recognition of non-surgical pneumoperitoneum is important to avoid unnecessary laparotomy, and clinical examination for the presence of peritonitis is the most important determinant of the need for emergency surgery.
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