Conservative Management of Asymptomatic Pneumoperitoneum; Report of Two Cases

• Main Authors: Leila Alizadeh, Mahdieh Shakeri-Darzekonani, Amin Sadrazar, Masoud Nouri-Vaskeh, Sedigheh Basirjafari
• Format: Article
• Language: English
• Published: Shahid Beheshti University of Medical Sciences 2019-01-01
• Series: Archives of Academic Emergency Medicine
• Subjects: Peptic Ulcer Perforation; Pneumoperitoneum; Proton Pump Inhibitors; Conservative Treatment
• Online Access: https://journals.sbmu.ac.ir/aaem/index.php/AAEM/article/view/166

Peptic ulcer disease is a common gastrointestinal disorder has been reduced in recent years due to effective new treatments. Peptic ulcer perforation is an emergent life-threatening condition causes pneumoperitoneum and septic shock. It often requires surgical procedures. We describe two cases of peptic ulcer perforation with only mild discomfort on the epigastric region since several months ago. The patients treated with high dose proton pump inhibitor and conservative actions without surgical procedures. Weekly follow up the cases showed that the clinical condition of patients remains stable without any new signs and symptoms. This report showed noninvasive treatment can be effective alone, in some cases with mild symptoms.