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Hawaii J Med Public Health · Mar 2012
Case ReportsSubcutaneous emphysema, pneumopericardium, pneumomediastinum and pneumoretroperitoneum secondary to sigmoid perforation: a case report.
- Daniel Murariu, Brent K Tatsuno, Michael K Tom, Jae S You, and Gregorio Maldini.
- Department of Surgery, John A. Burns School of Medicine, University of Hawai'i, Honolulu, 96813, USA. dmurariu@yahoo.com
- Hawaii J Med Public Health. 2012 Mar 1;71(3):74-7.
AbstractA 50-year-old woman presented with chronic epigastric abdominal pain and constipation. She underwent diagnostic upper and lower endoscopy for further evaluation. Several hours following the procedure, she developed chest and subcutaneous emphysema of her upper chest, neck, and face. A chest X-ray demonstrated marked subcutaneous emphysema, pneumopericardium, and pneumomediastinum. A CT scan revealed a small leak at the rectosigmoid junction. Because the patient did not have peritoneal signs, she was treated conservatively and discharged on hospital day seven. The complications of both esohagogastroduodenoscoy, and colonoscopy are discussed, with an emphasis on perforations.
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