title: Extensive subcutaneous emphysema due to colonic perforation following colonoscopy.
abstract: During colonoscopy, subcutaneous emphysema may occur as a result of colonic perforation into retroperitoneal area. In this report, a 54-year-old woman with sigmoid colon perforation following colonoscopy is described. Subcutaneous emphysema was the first manifestation of the perforation in this case. Initially, the patient received supportive, non-surgical treatment, but due to development of acute abdominal signs and symptoms in later stages, the patient underwent surgical treatment.
authors.affiliation: Department of Surgery, Tehran University of Medical Sciences, Tehran, Iran.
authors.forename: Mohammad Sadegh
authors.initials: MS
authors.lastname: Fazeli
authors.forename: Mohammad Reza
authors.initials: MR
authors.lastname: Keramati
authors.forename: Amir Hossein
authors.initials: AH
authors.lastname: Lebaschi
authors.forename: Mohammad
authors.initials: M
authors.lastname: Bashashati
mesh_terms: D003113:Colonoscopy / Q000009:adverse effects*; D005260:Female; D006801:Humans; D007416:Intestinal Perforation / Q000150:complications* / Q000209:etiology / Q000601:surgery; D008478:Mediastinal Emphysema / Q000473:pathology; D008875:Middle Aged; D012188:Retropneumoperitoneum / Q000473:pathology; D013352:Subcutaneous Emphysema / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery