Robot-Assisted Diagnostic Laparoscopy: A Safe and Feasible Adjunct to the Management of Massive Spontaneous Pneumoperitoneum. 

 -  2023 
<br/><br/> Pneumoperitoneum is the abnormal presence of free air in the peritoneal cavity. Oftentimes, it is a surgical emergency requiring exploratory laparotomy as most cases of pneumoperitoneum are due to perforated hollow viscus. However, not all pneumoperitoneum cases are surgical; nonsurgical pneumoperitoneum can arise from thoracic, abdominal, gynecologic, and other causes. We present a case of a 35-year-old male who developed a non-surgical pneumoperitoneum in the setting of drug overdose. The patient underwent robot-assisted diagnostic laparoscopy without findings of perforation or other pathology. Resolution of pneumoperitoneum was evidenced on follow-up computed tomography scan. This case emphasizes the importance of diagnostic laparoscopy in the setting of a confusing clinical picture and the feasibility of utilizing the robotic approach in hemodynamically stable patients. Copyright © 2023 Qingwen Kawaji et al. 
<br/><br/><br/>English 
<br/><br/><label>Standard No.: </label>10.1155/2023/4722333 [doi] PMC10019970 [pmc] 
<br/><br/><label>Subjects--Geographic Terms: </label><br/>MedStar Franklin Square Medical Center
<br/><br/><label>Index Terms--Occupation: </label><br/>General Surgery Residency<br/>Surgery
<br/><br/><label>Index Terms--Function: </label><br/>Case Reports