Pneumomediastinum, pneumothorax, and subcutaneous emphysema due to duodenal ulcer.
The presence of pneumothorax, pneumomediastinum, or cervical subcutaneous emphysema due to perforated duodenal ulcer is a rare presentation. We report a 23-year-man who showed bilateral cervical subcutaneous emphysema, pneumomediastinum, and pneumothorax with no respiratory abnormality. He was found to have active duodenal ulcers, but no detectable pneumoperitoneum or duodenal leak. A sealed perforation from the duodenal ulcers was suspected, and he fully improved after conservative management.
Abdullah
Muhammad
M
Department of General Surgery, King Saud University, PO Box 341436, Riyadh 11333, Kingdom of Saudi Arabia. khokhar7@hotmail.com
Al-Akeely
Mohammed H
MH
Al-Mustafa
Abdulaziz A
AA
D000328:Adult; D004381:Duodenal Ulcer / Q000150:complications*; D004646:Emphysema / Q000209:etiology*; D006801:Humans; D008297:Male; D008478:Mediastinal Emphysema / Q000209:etiology*; D011030:Pneumothorax / Q000209:etiology*