Pneumoperitoneum and ascites secondary to bacterial overgrowth

G. S. Raju, Satish S.C. Rao, C. Lu

Research output: Contribution to journalArticlepeer-review


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.

Original languageEnglish (US)
Pages (from-to)688-690
Number of pages3
JournalJournal of Clinical Gastroenterology
Issue number4
StatePublished - Dec 1997
Externally publishedYes


  • Ascites
  • Bacterial overgrowth
  • Pneumoperitoneum

ASJC Scopus subject areas

  • Gastroenterology


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