PMID: 9451689Feb 6, 1998Paper

Pneumoperitoneum and ascites secondary to bacterial overgrowth

Journal of Clinical Gastroenterology
G S RajuC Lu

Abstract

Abdominal bloating, weight loss, pneumoperitoneum, and ascites developed in a 73-year-old woman. She had scleroderma, megajejunum, small bowel dysmotility, and bacterial overgrowth. After treatment with a course of antibiotics, the pneumoperitoneum and ascites resolved, but her symptoms and the pneumoperitoneum recurred after the antibiotics were stopped. She was placed on cyclical antibiotics, and during a 2-year follow-up period she has remained well. The pneumoperitoneum and ascites may have been secondary to small bowel bacterial overgrowth. Ours is the first case that demonstrates this association.

References

May 1, 1984·Hepatology : Official Journal of the American Association for the Study of Liver Diseases·B A Runyon, J C Hoefs

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