Özet:

Pneumoperitoneum usually indicates a surgical emergency because of visceral perforation in 85 to 95% of cases. Spontaneous pneumoperitoneum without any visceral perforation is a rare condition that surgeons faced with this problem. We reported a case of pneumoperitoneum with burst fracture of thoracal 12nd spine after a blunt trauma. A 27 years old man presented to emergency service after an industrial accident. His glasscow coma score was 15 and in his abdominal examination, there was tenderness and musculer defense. Ct scan showed us free abdominal air antreior of the liver and burst fracture of thoracal 12nd spine. Firstly, laparotomy was performed but we couldn’t observe any identifiable pathology for free air in abdomen. After closure of abdomen, enstrumantation was performed for the spine. The patient was discharged on the 4nd postoperative day, but the cause of pneumoperitoneum remained obscure. After blunt trauma without pneumothorax, lonely pneumoperitoneum is a difficult problem for surgeons to operative or conservative treatment.

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