• Saudi Med J · Jun 2010

    Case Reports

    Pneumomediastinum, pneumothorax, and subcutaneous emphysema due to duodenal ulcer.

    • Muhammad Abdullah, Mohammed H Al-Akeely, and Abdulaziz A Al-Mustafa.
    • Department of General Surgery, King Saud University, PO Box 341436, Riyadh 11333, Kingdom of Saudi Arabia. khokhar7@hotmail.com
    • Saudi Med J. 2010 Jun 1;31(6):703-5.

    AbstractThe presence of pneumothorax, pneumomediastinum, or cervical subcutaneous emphysema due to perforated duodenal ulcer is a rare presentation. We report a 23-year-man who showed bilateral cervical subcutaneous emphysema, pneumomediastinum, and pneumothorax with no respiratory abnormality. He was found to have active duodenal ulcers, but no detectable pneumoperitoneum or duodenal leak. A sealed perforation from the duodenal ulcers was suspected, and he fully improved after conservative management.

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