[Subcutaneous emphysema as the initial manifestation of perforation of a hollow abdominal viscus].
The authors reports a case of cervical and abdominal subcutaneous emphysema, associated to pneumoretroperitoneum and pneumomediastinum, with no free air in the abdominal cavity, secondary to perforated diverticulitis of the sigmoid colon. We comment the rarity of this clinical presentation, the physiopathologic mechanisms of subcutaneous air presence in cases of non instrumental perforation of abdominal viscera and the ominous significance of the subcutaneous emphysema in such perforations.
Cifuentes Tebar
J
J
Departamento de Cirugía, Hospital Virgen de la Arrixaca, Facultad de Medicina, Universidad de Murcia.
Aguayo Albasini
J L
JL
Robles Campos
R
R
Luján Mompeán
J A
JA
Lirón Ruiz
R
R
Parrilla Paricio
P
P
D000368:Aged; D004239:Diverticulitis, Colonic / Q000150:complications*; D006801:Humans; D007416:Intestinal Perforation / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D008297:Male; D008478:Mediastinal Emphysema / Q000209:etiology; D012188:Retropneumoperitoneum / Q000209:etiology; D012810:Sigmoid Diseases / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D013352:Subcutaneous Emphysema / Q000209:etiology* / Q000503:physiopathology; D013530:Surgical Wound Infection / Q000209:etiology
Enfisema subcutáneo como manifestación inicial de perforación de víscera hueca abdominal.