Pneumoretroperitoneum, pneumomediastinum, pneumopericardium, and subcutaneous emphysema complicating sigmoidoscopy: report of a case.

Abstract:

:An 80-year-old woman presented to our outpatient center with abdominal pain and blood-stained stools. She underwent a colonoscopy, which showed a 4-cm type II tumor in the rectum. About 2 h after the colonoscopy, mild facial edema and subcutaneous emphysema developed around her neck. A chest X-ray showed pneumopericardium, pneumomediastinum, and subcutaneous emphysema, and an abdominal X-ray demonstrated retroperitoneal air. An exploratory laparotomy was performed on the second day after the colonoscopy, which showed air in the subserosal space of the sigmoid colon. The air seemed to have leaked from a 2-cm inflamed diverticulum in the sigmoid colon. The mesosigmoid was also expanded by air. We discuss the anatomical mechanism of the various clinical presentations of extraluminal air following colonoscopy.

journal_name

Surg Today

journal_title

Surgery today

authors

Ota H,Fujita S,Nakamura T,Tanaka S,Tono T,Murata Y,Tanaka N,Okajima S

doi

10.1007/s005950300069

subject

Has Abstract

pub_date

2003-01-01 00:00:00

pages

305-8

issue

4

eissn

0941-1291

issn

1436-2813

journal_volume

33

pub_type

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