Murat Ferhat Ferhatoglu, Ali Ilker Filiz


Pneumoperitoneum is free air existence in abdomen and usually caused by the perforation in gastrointestinal system. Peptic ulcer disease is the most common cause of perforation and pneumoperitoneum. The presence of free air in abdomen usually indicates emergency surgery. However, surgical approach is not required in some cases of pneumoperitoneum if there is no evidence of perforation and no sign of peritoneal irritation. Herein, we present an 82-year–old male patient who had pneumoperitoneum after colonoscopy and treated non-surgically.


Colonoscopy, complication, pneumoperitoneum

Full Text:



Levin TR, Zhao W, Conell C, Seeff LC, Manninen DL, Shapiro JA, et al. Complications of colonoscopy in an integrated health care delivery system. Ann Intern Med. 2006;145(12): 880-6.

Gupta A, Zaidi H, Habib K. Pneumothorax after colonoscopy – a review of literature. Clin Endosc. 2017; 50(5): 446-50.

Carey JL, Napoli AM. Tension pneumoperitoneum during routine colonoscopy. Am J Emerg Med. 2012; 30(1): 261-2.

Arora G, Mannalithara A, Singh G, Gerson LB, Triadafilopoulos G. Risk of perforation from a colonoscopy in adults: a large population based study. Gastrointest Endosc. 2009; 69(3Pt2): 654-64.

Nwashilli NJ, Irowa O, Ohanaka EC. Pneumaperitoneum, pneumomediastinum, pneumopericardium and subcutaneous emphysema following colonoscopy-a case report. Ann Biomed Sci. 2016; 15(1): 23-7.

Pearl JP, McNally MP, Elster EA, De Nobile JW. Benign pneumoperitoneum after colonoscopy: a prospective pilot study. Mil Med. 2006; 171(7): 648-9.

Modini C, Clementi I, Simonelli L, Antoniozzi A, Assenza M, Ciccarone F, et al. Acute emphysematous cholecystitis as a cause of pneumoperitoneum. Chir Ital. 2008; 60(2): 315–8.

Lai FC, Wu CC, Hwu DH, Liu TJ, P’eng FK. Pneumoperitoneum caused by spontaneous bacterial peritonitis: a case report. Zhonghua Yi Xue Za Zhi (Taipei). 1994; 54(5): 373-5.

Yamana I, Noritomi T, Takeno S, Tatsuya H, Sato K, Shimaoka H, et al. Spontaneous Pneumoperitoneum due to Constipation. Case Rep Gastroenterol. 2015; 9(3):361-5.

Kim JH, Jung ES, Jeong SH, Kim JS, Ku YS, Hahm KB, et al. A case of emphysematous hepatitis with spontaneous pneumoperitoneum in a patient with hilar cholangiocarcinoma. Korean J Hepatol. 2012; 18(1): 94-7.

Shapey IM, Nasser T, Dickens P, Haldar M, Solkar MH. Spontaneously perforated pyometra: an unusual cause of acute abdomen and pneumoperitoneum. Ann R Coll Surg Engl. 2012; 94(8): 246–8.

DOI: http://dx.doi.org/10.24125/sanamed.v13i2.243


  • There are currently no refbacks.


Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 International License.