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Subcutaneous emphysema, muscular necrosis, and necrotizing fasciitis: an unusual presentation of perforated sigmoid diverticulitis.
South Med J. 2010 Apr; 103(4):350-2.SM

Abstract

With advancing age and the affluent, low-fiber Western diet, the incidence of diverticular disease is increasing. Fortunately, most cases can be managed conservatively without resorting to surgical intervention. Life-threatening complications such as perforation, especially when it is associated with gross fecal contamination, requires urgent aggressive surgical intervention. A 75-year-old man with absolute constipation and pain in the left iliac fossa underwent urgent laparotomy following fluid and antibiotic resuscitation. A posterior perforated sigmoid diverticulitis associated with myofascial necrosis and generalized pelvic emphysema was identified. In cases where perforation occurs posteriorly and the only external manifestation is surgical emphysema, the outcome is generally favorable.

Authors+Show Affiliations

Department of Surgery, Long Island Jewish Medical Center, New Hyde Park, NY 11040, USA. eagaba@gmail.comNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

20224508

Citation

Agaba, Emmanuel A., et al. "Subcutaneous Emphysema, Muscular Necrosis, and Necrotizing Fasciitis: an Unusual Presentation of Perforated Sigmoid Diverticulitis." Southern Medical Journal, vol. 103, no. 4, 2010, pp. 350-2.
Agaba EA, Kandel AR, Agaba PO, et al. Subcutaneous emphysema, muscular necrosis, and necrotizing fasciitis: an unusual presentation of perforated sigmoid diverticulitis. South Med J. 2010;103(4):350-2.
Agaba, E. A., Kandel, A. R., Agaba, P. O., & Wong, L. S. (2010). Subcutaneous emphysema, muscular necrosis, and necrotizing fasciitis: an unusual presentation of perforated sigmoid diverticulitis. Southern Medical Journal, 103(4), 350-2. https://doi.org/10.1097/SMJ.0b013e3181c1a899
Agaba EA, et al. Subcutaneous Emphysema, Muscular Necrosis, and Necrotizing Fasciitis: an Unusual Presentation of Perforated Sigmoid Diverticulitis. South Med J. 2010;103(4):350-2. PubMed PMID: 20224508.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Subcutaneous emphysema, muscular necrosis, and necrotizing fasciitis: an unusual presentation of perforated sigmoid diverticulitis. AU - Agaba,Emmanuel A, AU - Kandel,Anuj R, AU - Agaba,Peter O, AU - Wong,Ling S, PY - 2010/3/13/entrez PY - 2010/3/13/pubmed PY - 2010/7/14/medline SP - 350 EP - 2 JF - Southern medical journal JO - South Med J VL - 103 IS - 4 N2 - With advancing age and the affluent, low-fiber Western diet, the incidence of diverticular disease is increasing. Fortunately, most cases can be managed conservatively without resorting to surgical intervention. Life-threatening complications such as perforation, especially when it is associated with gross fecal contamination, requires urgent aggressive surgical intervention. A 75-year-old man with absolute constipation and pain in the left iliac fossa underwent urgent laparotomy following fluid and antibiotic resuscitation. A posterior perforated sigmoid diverticulitis associated with myofascial necrosis and generalized pelvic emphysema was identified. In cases where perforation occurs posteriorly and the only external manifestation is surgical emphysema, the outcome is generally favorable. SN - 1541-8243 UR - https://www.unboundmedicine.com/medline/citation/20224508/Subcutaneous_emphysema_muscular_necrosis_and_necrotizing_fasciitis:_an_unusual_presentation_of_perforated_sigmoid_diverticulitis_ L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=linkout&SEARCH=20224508.ui DB - PRIME DP - Unbound Medicine ER -