title: Retroperitoneal perforation in ulcerative colitis with mediastinal and subcutaneous emphysema.
abstract: Retroperitoneal colonic perforation in patients with ulcerative colitis is rare. We report such a case in a patient with severe ulcerative colitis without toxic dilatation in whom mediastinal and subcutaneous emphysema also developed. Unlike previously reported cases, our patient was treated conservatively with intravenous fluids, parenteral nutrition, intravenous hydrocortisone, and antibiotics. After 2 weeks, the mediastinal and subcutaneous emphysema and the retroperitoneal air completely disappeared.
authors.affiliation: Department of Gastroenterology, BYL Nair Ch Hospital, Bombay, India.
authors.forename: J F
authors.initials: JF
authors.lastname: Alvares
authors.forename: P S
authors.initials: PS
authors.lastname: Dhawan
authors.forename: S
authors.initials: S
authors.lastname: Tibrewala
authors.forename: K
authors.initials: K
authors.lastname: Shankaran
authors.forename: S G
authors.initials: SG
authors.lastname: Kulkarni
authors.forename: R
authors.initials: R
authors.lastname: Rananavare
authors.forename: R H
authors.initials: RH
authors.lastname: Kalro
mesh_terms: D000328:Adult; D003093:Colitis, Ulcerative / Q000150:complications* / Q000628:therapy; D006801:Humans; D007416:Intestinal Perforation / Q000000981:diagnostic imaging / Q000209:etiology* / Q000628:therapy; D008297:Male; D008478:Mediastinal Emphysema / Q000150:complications* / Q000000981:diagnostic imaging / Q000628:therapy; D012187:Retroperitoneal Space / Q000000981:diagnostic imaging; D013352:Subcutaneous Emphysema / Q000150:complications* / Q000628:therapy; D014057:Tomography, X-Ray Computed