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Scholars Journal of Medical Case Reports | Volume-14 | Issue-03
Case Report: Conservative Management of Massive Pneumoperitoneum Secondary to a Sealed Gastroduodenal Ulcer
Issam Yazough, Achraf Laiz, Ismail Sriri, Aymane Jbilou, Younes Aggouri, Said Ait Laalim
Published: March 30, 2026 |
21
16
Pages: 567-569
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Abstract
Pneumoperitoneum is traditionally considered a surgical emergency, signaling the perforation of a hollow viscus. However, in rare situations, pneumoperitoneum may occur in the absence of digestive tract perforation, defining spontaneous or non-surgical pneumoperitoneum. This rare entity exposes clinicians to a diagnostic and therapeutic dilemma. We report the case of a 63-year-old man presenting with massive pneumoperitoneum despite remarkable clinical and biological stability. The diagnosis of a sealed gastroduodenal ulcer was made. Exclusive medical treatment led to a successful recovery without surgical intervention.