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. Author manuscript; available in PMC: 2019 Jul 1.
Published in final edited form as: Ann Surg. 2018 Jul;268(1):e1–e3. doi: 10.1097/SLA.0000000000002683

Table 1.

Patient Presentations and Outcomes

Patient Characteristics Vital Signs Physical Exam Labarotory Values CT Findings Length of Stay after Surgery Consult Discharge Disposition
Patient 1:
38 year old man with cirrhosis and unclear etiology of free air
T: 97.0
P: 94
BP: 92/53
RR:22
No AMS
Abdomen tender and distended without peritonitis
WBC: 29.5
Lactate: 5.1 mg/dl
Large amount of diffuse free air and ascites 3 Death
Patient 2:
52 year old woman with metastatic cancer of unknown primary with erosive gastric mass
T: 97.4
P: 115
BP: 135/82
RR: 23
No AMS
Abdomen tender and distended without peritonitis
WBC: 15.4
Lactate: 4.8 mg/dl
Moderate diffuse free air throughout abdomen with mass eroding into stomach 5 Death
Patient 3:
76 year old woman with metastatic squamous cell carcinoma with perforation of colonic stent
T: 97.3
P: 128
BP: 103/55
RR: 21
AMS
Abdomen tender with peritonitis but non-distended
WBC: 11.8
Lactate: 2.1 mg/dl
Moderate amount of diffuse free air throughout abdomen 1 Death
Patient 4:
48 year old man with metastatic melanoma and perforated diverticulitis
T: 97.8
P: 110
BP: 113/81
RR: 20
AMS
Abdomen tender, distended with peritonitis
WBC: 18.2
Lactate: 5.3 mg/dl
Large amount of diffuse free air throughout abdomen with diverticulitis 1 Death
Patient 5:
46 year old man with metastatic colon cancer and perforation from paracentesis
T: 98.2
P: 122
BP: 112/67
RR: 26
No AMS
Abdomen tender and distended without peritonitis
WBC: 24.2
Lactate: not obtained
Moderate, diffuse free air throughout abdomen with ascites 6 Home Hospice
Patient 6:
26 year old man with AIDS and small bowel lymphoma with anastomotic breakdown 2 weeks after small bowel resection
T: 98.2
P: 72
BP: 122/76
RR: 14
No AMS
Abdomen tender but non-distended without peritonitis
WBC: 13.4
Lactate: 1.4 mg/dl
Small amount of diffuse free air throughout abdomen along with small amount of air around anastomosis 25 Home Hospice
Patient 7:
66 year old man with cirrhosis and unresectable hepatoma and perforated diverticulitis
T: 97.1
P: 89
BP: 99/62
RR: 18
No AMS
Abdomen tender and distended without peritonitis
WBC: 12.4
Lactate: 1.8 mg/dl
Moderate diffuse free air throughout abdomen with ascites 3 Inpatient Hospice
Patient 8:
52 year old man with recurrent duodenal cancer s/p Whipple procedure with perforation of obstructed afferent limb
T: 99.7
P: 89
BP: 137/77
RR: 19
AMS
Abdomen distended but non-tender without peritonitis
WBC: 18.2
Lactate: 0.7 mg/dl
Moderate diffuse free air throughout the abdomen 26 Inpatient Hospice

T=temperature, P=pulse, BP=blood pressure (in mmHg), RR=respiratory rate, AMS=altered mental status, WBC=white blood cell count (in thousands),