Spontaneous Pneumoperitoneum—Report of Two Male Cases—

Abstract

We report two cases of spontaneous peritoneum. Case 1 was an 85-year-old man, and Case 2 was a 69-year-old man. In both cases, radiographic examination revealed some free air in the abdomen, although there were no signs of peritonitis (such as Blumberg's sign or muscle guarding). We selected conservative management. Case 1 was followed up by periodic radiography, computed tomography, laboratory tests and physical examination, while Case 2 was followed up by periodic radiography, laboratory tests and physical examination. In both cases, the prognosis was favorable, and the free air in the abdomen disappeared over time. These findings suggest that conservative treatment could be a valid option for the management of spontaneous pneumoperitoneum.