DOI QR코드

DOI QR Code

Pneumoperitoneum from vaginal cuff dehiscence following blunt trauma in a patient with a history of robotic hysterectomy in Korea: a case report

  • Byung Hee Kang (Division of Trauma Surgery, Department of Surgery, Ajou University School of Medicine) ;
  • Donghwan Choi (Division of Trauma Surgery, Department of Surgery, Ajou University School of Medicine)
  • 투고 : 2023.10.25
  • 심사 : 2023.12.04
  • 발행 : 2024.03.31

초록

Pneumoperitoneum usually presents as a surgical emergency, especially in patients with a history of trauma. However, we recently encountered an atypical case of pneumoperitoneum at a hysterectomy site following blunt trauma, indicating that immediate laparotomy may not always be necessary. In this report, we present the case of a 45-year-old woman who was transferred to our trauma center from a local hospital after being involved in a traffic accident the day before. Although she underwent an emergency laparotomy, no bowel perforation was detected. Instead, a rupture was found at the site of a hysterectomy that had been performed 8 months earlier. After repairing the hysterectomy site, the pneumoperitoneum resolved, and the patient was subsequently discharged without further complications.

키워드

참고문헌

  1. American College of Surgeons. ATLS: Advanced Trauma Life Support: student course manual. 10th ed. American College of Surgeons; 2018.
  2. Mularski RA, Sippel JM, Osborne ML. Pneumoperitoneum: a review of nonsurgical causes. Crit Care Med 2000;28:2638-44. https://doi.org/10.1097/00003246-200007000-00078
  3. Nishina M, Fujii C, Ogino R, Kobayashi R, Kohama A. Pneumoperitoneum and pneumoretroperitoneum in blunt trauma patients. J Trauma 2000;49:565-6. https://doi.org/10.1097/00005373-200009000-00029
  4. Marek AP, Deisler RF, Sutherland JB, et al. CT scan-detected pneumoperitoneum: an unreliable predictor of intra-abdominal injury in blunt trauma. Injury 2014;45:116-21. https://doi.org/10.1016/j.injury.2013.08.017
  5. Ubukata Y, Sohda M, Sakai M, et al. Idiopathic pneumoperitoneum diagnosed following high-energy motor vehicular trauma: a case report. J Med Invest 2022;69:155-7. https://doi.org/10.2152/jmi.69.155
  6. Im DD, Pak PS, Cua B, Feinberg E. Pneumoperitoneum after sexual assault in a patient who had hysterectomy 30 years ago: case report. J Emerg Med 2012;42:540-2. https://doi.org/10.1016/j.jemermed.2011.05.049
  7. Lovecek M, Herman J, Svach I, Gryga A, Duda M. Postcoital pneumoperitoneum after hysterectomy. Surg Endosc 2001;15:98.
  8. Spaulding LB, Gallup DG. Pneumoperitoneum after hysterectomy. JAMA 1979;241:825.
  9. Sterk E, Stonewall K. Vaginal cuff dehiscence: a potential surgical emergency. Am J Emerg Med 2020;38:691.