scholarly journals Anatomical and Radiological Considerations When Colonic Perforation Leads to Subcutaneous Emphysema, Pneumothoraces, Pneumomediastinum, and Mediastinal Shift

2018 ◽  
Vol 04 (01) ◽  
pp. e7-e13 ◽  
Author(s):  
Sala Abdalla ◽  
Rupinder Gill ◽  
Gibran Yusuf ◽  
Rosaria Scarpinata
Keyword(s):  
Subcutaneous Emphysema ◽  
Rare Case ◽  
Interventional Procedures ◽  
Colonic Perforation ◽  
Lower Limbs ◽  
Safe Procedure ◽  
Diagnostic Colonoscopy ◽  
Mediastinal Shift ◽  
Radiological Images ◽  
Body Compartments

AbstractWhile colonoscopy is generally regarded as a safe procedure, colonic perforation can occur and the risk of this is higher when interventional procedures are undertaken. The presentation may be acute or delayed depending on the extent of the perforation. Extracolonic gas following colonic perforation can migrate to several body compartments that are embryologically related and it has previously been reported in the thorax, mediastinum, neck, scrotum, and lower limbs. This review discusses in detail the anatomical pathways that led to a rare case of widespread subcutaneous emphysema, bilateral pneumothoraces, pneumomediastinum, and mediastinal shift from colonic perforation during a diagnostic colonoscopy. This is further supported by a description of the radiological images.

scholarly journals Tension Pneumothorax, Pneumoperitoneum, and Cervical Emphysema following a Diagnostic Colonoscopy

2013 ◽  
Vol 2013 ◽  
pp. 1-3 ◽  
Author(s):  
Ali Pourmand ◽  
Hamid Shokoohi
Keyword(s):  
Rare Case ◽  
Tension Pneumothorax ◽  
Colonic Perforation ◽  
Tube Thoracostomy ◽  
Diagnostic Colonoscopy ◽  
Rare Case Report ◽  
Initial Injury ◽  
Life Threatening ◽  
Life Threatening Complication ◽  
Anatomical Connection

Colonoscopy is currently a widespread procedure used in screening for colorectal cancer. Iatrogenic colonic perforation during colonoscopy is a serious and potentially life-threatening complication that can cause significant morbidity and mortality. “Triple pneumo” (a combination of pneumothorax, pneumomediastinum, and pneumoperitoneum) following colonoscopy is a rare but a serious condition requiring immediate diagnosis and emergent intervention. In majority of these cases a colonic perforation is the initial injury that is followed by pneumothorax and pneumomediastinum through the potential anatomical connection with retroperitoneal and mediastinal spaces. In this rare case report we are presenting a case of “triple pneumo” with no evidence of colonic perforation. This patient developed a simultaneous pneumoperitoneum, pneumomediastinum, and a tension pneumothorax requiring immediate tube thoracostomy. This case may raise the awareness on the likelihood of these serious complications after colonoscopy.

A rare case of a stab wound

1903 ◽  
Vol 3 (5-6) ◽  
pp. 284-284
Author(s):  
D. Kuznetskiy
Keyword(s):  
Subcutaneous Emphysema ◽  
Rare Case ◽  
Stab Wound ◽  
Intercostal Space ◽  
Anterior Axillary Line ◽  
Excellent Outcome ◽  
Respiratory Noises

Abstracts. Surgery."Surgery" v. XIII. No. 73.D. Kuznetskiy. A rare case of a stab wound.The case described by the author is interesting for some complications, which accompanied the injury, and for the excellent outcome, despite the severity of the injury and complications. The patient received a wound corresponding to the 7th rib on the anterior axillary line. When the 7th rib and 6th intercostal space were exposed, it appeared to be torn apart, a cloudy liquid with a sour smell protrudes from the wound (when exhaled); Listening to the lung reveals the absence of respiratory noises. In the circumference of the wound, subcutaneous emphysema.

scholarly journals Subcutaneous Emphysema, Pneumomediastinum, Pneumoretroperitoneum, and Pneumoscrotum: Unusual Complications of Acute Perforated Diverticulitis

2014 ◽  
Vol 2014 ◽  
pp. 1-5 ◽  
Author(s):  
S. Fosi ◽  
V. Giuricin ◽  
V. Girardi ◽  
E. Di Caprera ◽  
E. Costanzo ◽  
...  
Keyword(s):  
Subcutaneous Emphysema ◽  
Rare Case ◽  
Correct Diagnosis ◽  
Clinical Findings ◽  
Perforated Diverticulitis ◽  
Alveolar Wall ◽  
X Rays ◽  
Radiological Imaging ◽  
Upper Airways ◽  
Surgical Exploration

Pneumomediastinum, and subcutaneous emphysema usually result from spontaneous alveolar wall rupture and, far less commonly, from disruption of the upper airways or gastrointestinal tract. Subcutaneous neck emphysema, pneumomediastinum, and retropneumoperitoneum caused by nontraumatic perforations of the colon have been infrequently reported. The main symptoms of spontaneous subcutaneous emphysema are swelling and crepitus over the involved site; further clinical findings in case of subcutaneous cervical and mediastinal emphysema can be neck and chest pain and dyspnea. Radiological imaging plays an important role to achieve the correct diagnosis and extension of the disease. We present a quite rare case of spontaneous subcutaneous cervical emphysema, pneumomediastinum, and pneumoretroperitoneum due to perforation of an occult sigmoid diverticulum. Abdomen ultrasound, chest X-rays, and computer tomography (CT) were performed to evaluate the free gas extension and to identify potential sources of extravasating gas. Radiological diagnosis was confirmed by the subsequent surgical exploration.

Subcutaneous Emphysema Is Not Always Benign: A Rare Case of Extrapleural Hematomas

CHEST Journal ◽  
2014 ◽  
Vol 146 (4) ◽  
pp. 268A
Author(s):  
Daniel Gutteridge ◽  
Damien Patel ◽  
Casey Stahlheber
Keyword(s):  
Subcutaneous Emphysema ◽  
Rare Case

scholarly journals Pneumoretroperitoneum with subcutaneous emphysema after a post colonoscopy colonic perforation

2019 ◽  
Vol 58 ◽  
pp. 117-120
Author(s):  
Sahned Jaafar ◽  
Suy Sen Hung Fong ◽  
Abdul Waheed ◽  
Subhasis Misra ◽  
Keyur Chavda
Keyword(s):  
Subcutaneous Emphysema ◽  
Colonic Perforation

scholarly journals Multicentric extra-abdominal desmoid tumors arising in bilateral lower limbs

Rare Tumors ◽  
2010 ◽  
Vol 2 (1) ◽  
pp. 36-38 ◽  
Author(s):  
Tokiko Shimoyama ◽  
Koji Hiraoka ◽  
Takanori Shoda ◽  
Tetsuya Hamada ◽  
Nobuhiro Fukushima ◽  
...  
Keyword(s):  
Young Adults ◽  
Distinctive Feature ◽  
Rare Case ◽  
Lower Limbs ◽  
Desmoid Tumors ◽  
Multicentric Occurrence ◽  
Extra Abdominal Desmoid

Extra-abdominal desmoid tumors preferentially affect the shoulders, arms, backs, buttocks, and thighs of young adults. Multicentric occurrence is rather rare but seems to be another distinctive feature of extra-abdominal desmoid tumors. In this article we report a rare case of multicentric extra-abdominal desmoid tumors arising in bilateral lower limbs.

Su1486 The Comparison of Endoscopic Closure With Surgical Operation in Iatrogenic Colonic Perforation During Diagnostic Colonoscopy

2012 ◽  
Vol 75 (4) ◽  
pp. AB349
Author(s):  
Kwang an Kwon ◽  
Jong Joon Lee ◽  
Jung Ho Kim ◽  
Yoon Jae Kim ◽  
Chung Jun Won ◽  
...  
Keyword(s):  
Colonic Perforation ◽  
Surgical Operation ◽  
Diagnostic Colonoscopy ◽  
Endoscopic Closure

scholarly journals Extensive Subcutaneous Emphysema and Pneumomediastinum after Ecstasy Ingestion

2013 ◽  
Vol 2013 ◽  
pp. 1-3 ◽  
Author(s):  
A. Gungadeen ◽  
J. Moor
Keyword(s):  
Case Report ◽  
Chest Pain ◽  
Young Adult ◽  
Conservative Management ◽  
Subcutaneous Emphysema ◽  
Rare Case ◽  
Relevant Literature ◽  
Radiological Imaging ◽  
Neck Swelling ◽  
History Of

Objective. To present a rare case of extensive subcutaneous emphysema and spontaneous pneumomediastinum following ingestion of Ecstasy in a young adult. We also review the relevant literature and discuss how this case supplements it.Case Report. We report a case of a 19-year-old man with a history of painless neck and chest swelling, and no chest pain or breathlessness, after consuming Ecstasy tablets. Radiological imaging showed evidence of pneumomediastinum and extensive subcutaneous emphysema. The patient remained well under observation and his symptoms improved with conservative management.Conclusions. Subcutaneous emphysema and pneumomediastinum after Ecstasy ingestion is uncommon. Cases are often referred to the otolaryngologist as they can present with neck and throat symptoms. Our case showed that the severity of symptoms may not correlate with severity of the anatomical abnormality and that pneumomediastinum should be suspected in Ecstasy users who present with neck swelling despite the absence of chest symptoms. Although all cases reported so far resolved with conservative management, it is important to perform simple investigations to exclude coexisting serious pathology.

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