Candida lusitaniae Peritonitis Associated With Nonsurgical Pneumoperitoneum: A Case Report Exploring a Causal Relationship or Coincidence.

Document Type

Article

Publication Date

7-8-2026

Publication Title

Cureus

Abstract

Pneumoperitoneum is classically associated with perforated abdominal viscus and typically prompts emergent surgical evaluation and intervention. However, a small subset of patients present with nonsurgical pneumoperitoneum in the absence of gastrointestinal perforation, creating a significant diagnostic and management challenge for clinicians. Distinguishing surgical from nonsurgical causes is particularly difficult when patients demonstrate signs of peritonitis, as the presence of abdominal tenderness, guarding, or systemic inflammatory findings may strongly suggest bowel perforation despite negative imaging or operative findings. In rare cases, infectious etiologies may further complicate the clinical picture.

Volume

18

Issue

7

First Page

e112257

DOI

10.7759/cureus.112257

ISSN

2168-8184

PubMed ID

42569075

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