scholarly journals Extensive Subcutaneous Emphysema as a Presentation of Ischemic Colitis

2015 ◽  
Vol 2015 ◽  
pp. 1-2
Author(s):  
Ana Franky Carvalho ◽  
Claudio Branco ◽  
Pedro Leão ◽  
Conceição Antunes

Introduction. Subcutaneous emphysema is usually benign and self-limited; however, it may be associated with a life-threating situation.Case Report. An elderly woman with progressive malaise with extensive subcutaneous emphysema (cervical to abdominal wall) was observed at the emergency department. Colonic perforation was diagnosed and the patient underwent surgery. Intraoperatively, necrosis and perforation of the sigmoid colon into the retroperitoneum were found and a Hartmann procedure was performed.Conclusion. Cervical and thoracic subcutaneous emphysema may be the first sign of intra-abdominal lesion.

2015 ◽  
Vol 72 (12) ◽  
pp. 1118-1121
Author(s):  
Vasilije Jeremic ◽  
Srdjan Mijatovic ◽  
Slobodan Krstic ◽  
Sanja Dragasevic ◽  
Tamara Alempijevic

Introduction. Many factors have been indentified as a possible cause of rectal prolaps. Despite the fact that it is not a lifethreating condition, its clinical presentation varies, and sometimes it can present as an emergency. We presented a patient with prolapse of an unusually large segment of the rectosigmoid colon caused by chronic constipation, as an incarcerated segment repaired surgically. Case report. A 62-year-old female patient was referred to the Emergency Department in bad condition with severe pain in the perianal region. On examination a complete rectal prolaps as well as a part of sigmoid colon were found. Macroscopically, the prolapsed segment appeared edematous, livid, with ulcerations. An attempt to manually reduce prolapse failed, therefore resection of 50 cm of sigmoid colon with rectopexy had to be performed. No complications occurred and the patient was without symptoms six months later. Colonoscopy did not reveal any abnormality. Conclusion. Although the preoperative management and preparation of the patient was limited, emergancy surgical intervention for such a case was the strategy of choice due to magnitude of the prolapsing segment. It provided a successful and permenant solution.


2018 ◽  
Vol 51 (4) ◽  
pp. 308-317
Author(s):  
Yoshihiro Mori ◽  
Hideki Ishikawa ◽  
Yoji Nishimura ◽  
Michitoshi Takano ◽  
Takashi Takenoya ◽  
...  

2017 ◽  
Vol 10 (2) ◽  
pp. 135-137 ◽  
Author(s):  
Muhammad Khan ◽  
Muhammad Ijaz ◽  
Sumera Bukhari ◽  
Ahmed Dirweesh ◽  
Donald Christmas

2019 ◽  
Vol 55 ◽  
pp. 213-217 ◽  
Author(s):  
Tomohiro Muronoi ◽  
Akihiko Kidani ◽  
Eiji Hira ◽  
Kayo Takeda ◽  
Shunsuke Kuramoto ◽  
...  

BMC Cancer ◽  
2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Taro Tanabe ◽  
Dai Shida ◽  
Shunsuke Tsukamoto ◽  
Goki Morizono ◽  
Hirokazu Taniguchi ◽  
...  

2005 ◽  
Vol 16 (10) ◽  
pp. 600-604
Author(s):  
Seiji Morita ◽  
Kazuhiro Ishizu ◽  
Eisuke Ito ◽  
Sayuri Hasegawa ◽  
Takahumi Sekka ◽  
...  

Author(s):  
Aditya Dhananjay Phadte ◽  
Chitralekha Anilkumar Nayak ◽  
Ramona Menezes ◽  
Akshay Surendra Naik

This study describes a rare case of a 19 year old girl who presented with features of subcutaneous emphysema and pneumomediastinum to the emergency department in whom further investigation revealed pulmonary and neurotuberculosis. Tuberculosis presenting as pneumomediastinum and subcutaneous emphysema is a rare, but an important entity and a better knowledge of this condition can help in the early diagnosis and adequate management of tuberculosis.


2012 ◽  
Vol 140 (9-10) ◽  
pp. 637-640 ◽  
Author(s):  
Zoran Trebjesanin ◽  
Srdjan Babic ◽  
Goran Vucurevic ◽  
Petar Popov ◽  
Nenad Ilijevski ◽  
...  

Introduction. Positional anomalies of the right half of the colon are quite common whereas positional anomalies of the left half of the colon are much less common because of embryological disorders during the period of the embryological development of that part of the bowel. The process of the fixation of the descending colon to the posterior abdominal wall can be absent. In that case, when the descending colon has a free descending mesocolon, it shows some degree of mobility. Case Outline. We are presenting an example of one of the anomalies, which is characterized by the persistent descending mesocolon, which extends from the splenic flexure or just below it to the sigmoid colon. The persistent descending mesocolon in our case contains or surrounds almost complete small bowel in a recess which is located laterally to the left of the midline. The content of this hernial sac simulates the symptoms of an internal hernia followed by clinical symptoms and roendgenographical signs. Conclusion. We are of the opinion that this anomaly is more common than some surveys of literature would suggest.


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