Non-surgical pneumoperitoneum

Non-surgical pneumoperitoneum We report a case of a patient with a non-surgical pneumoperitoneum, successfully managed with conservative treatment. The abdominal CT showed a pneumatosis cystoides intestinalis, which can be exceptionally associated with pneumoperitoneum. A 96-year-old institutionalised woman presented to the emer-gency room with congestive heart failure due to new-onset atrial fibrillation. Medical treatment and non-invasive ventilation were initiated and a pulmonary embolism was also suspected. A pulmonaryCTwas performed, togetherwith angiographic phases of the legs and lower abdomen to exclude deep vein thrombosis. The abdominal CT (figure 1) showed pneumatosis cystoides intestinalis (PCI) of the colon and a pneumoperitoneum. The patient did not complained of any abdominal symptoms,