Subcutaneous emphysema of the neck, chest, and abdomen as a symptom of colonic diverticular perforation into the retroperitoneum
| Autor: | Karolina Dorobisz, Mariusz Chabowski, Dawid Janczak, Tadeusz Dorobisz, Agnieszka Ziomek, Wiktor Pawłowski, Dariusz Janczak |
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| Rok vydání: | 2016 |
| Předmět: |
medicine.medical_specialty
Exploratory laparotomy medicine.medical_treatment Urinary system Perforation (oil well) Case Report massive subcutaneous emphysema 03 medical and health sciences 0302 clinical medicine Stoma (medicine) colonic diverticular perforation medicine 030212 general & internal medicine business.industry digestive system diseases Surgery medicine.anatomical_structure 030220 oncology & carcinogenesis Etiology Abdomen Radiology Presentation (obstetrics) medicine.symptom Cardiology and Cardiovascular Medicine business Subcutaneous emphysema |
| Zdroj: | Kardiochirurgia i Torakochirurgia Polska = Polish Journal of Cardio-Thoracic Surgery |
| ISSN: | 1731-5530 |
| DOI: | 10.5114/kitp.2016.58968 |
| Popis: | We describe a rare case of a patient with colonic diverticular perforation manifested only by subcutaneous emphysema of the neck, chest, and abdomen, as visualized by a computed tomography (CT) scan. The 76-year-old female patient with a history of internal diseases was urgently admitted to the Clinic of Internal Diseases due to a urinary tract infection. During the hospitalization, further diagnostic procedures were performed due to palpable subcutaneous emphysema of the neck, chest, and abdomen. Computed tomography examination revealed massive intra-abdominal, intramuscular, and subcutaneous emphysema. A decision was made to perform exploratory laparotomy; the procedure exposed an inveterate diverticular perforation of the sigmoid-rectal flexure as well as air-inflated retroperitoneal tissue. The perforated colon was resected, and a stoma was formed. On the 15(th) postoperative day, the patient died due to cardiorespiratory failure. Although subcutaneous emphysema is a common symptom in everyday medical practice, its etiology remains complex. One should consider this clinical presentation of colonic diverticular perforation, especially in elderly patients in whom the perforation signs may be clinically less marked. |
| Databáze: | OpenAIRE |
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