title: Pneumopericardium and subcutaneous emphysema of the neck. An unusual manifestation of colonoscopic perforation.
abstract: Subcutaneous neck emphysema has been reported infrequently following colonoscopic perforation and only a single case of pneumopericardium has been previously reported. The successful management of these patients in the literature has largely been non-operative. We report a case of colonoscopic perforation which presented with subcutaneous neck emphysema, pneumopericardium, and pneumoperitoneum that required operative intervention.
authors.affiliation: St. Louis University Medical Center, MO 63110-0250.
authors.forename: S D
authors.initials: SD
authors.lastname: Fitzgerald
authors.forename: A
authors.initials: A
authors.lastname: Denk
authors.forename: M
authors.initials: M
authors.lastname: Flynn
authors.forename: W E
authors.initials: WE
authors.lastname: Longo
authors.forename: A M
authors.initials: AM
authors.lastname: Vernava
mesh_terms: D000328:Adult; D003106:Colon / Q000293:injuries*; D003113:Colonoscopy / Q000009:adverse effects*; D005260:Female; D006801:Humans; D007416:Intestinal Perforation / Q000150:complications / Q000209:etiology*; D009333:Neck; D011026:Pneumopericardium / Q000209:etiology*; D011027:Pneumoperitoneum / Q000209:etiology; D013352:Subcutaneous Emphysema / Q000209:etiology*