# Nonsurgical Pneumoperitoneum: A Rare Thoracoabdominal Complication of Asthma Exacerbation

**Authors:** Takuya Nagahara, Kazuhiko Iwasaki, Saya Tsukida, Akihito Okazaki

PMC · DOI: 10.1002/rcr2.70294 · Respirology Case Reports · 2025-07-24

## TL;DR

A rare case shows that asthma flare-ups can cause air in the abdomen without surgery, and may not need fasting if no surgery is involved.

## Contribution

Demonstrates that asthma exacerbation alone can lead to nonsurgical pneumoperitoneum without abdominal symptoms.

## Key findings

- Asthma exacerbation can cause nonsurgical pneumoperitoneum without abdominal symptoms.
- Conservative treatment without fasting is sufficient after ruling out surgical causes.

## Abstract

Asthma‐related nonsurgical pneumoperitoneum is extremely rare. This case highlights that even without abdominal symptoms, free air may result solely from asthma exacerbation, and conservative treatment without fasting can be sufficient after surgical causes are excluded.

This case highlights that even without abdominal symptoms, free air may result solely from asthma exacerbation, and conservative treatment without fasting can be sufficient after surgical causes are excluded.

## Linked entities

- **Diseases:** asthma (MONDO:0004979)

## Full-text entities

- **Diseases:** Pneumoperitoneum (MESH:D011027), Asthma (MESH:D001249)

## Full text

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## Figures

3 figures with captions in the complete paper: https://tomesphere.com/paper/PMC12289394/full.md

## References

2 references — full list in the complete paper: https://tomesphere.com/paper/PMC12289394/full.md

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Source: https://tomesphere.com/paper/PMC12289394