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Pneumomediastinum and subcutaneous emphysema caused by sigmoid diverticulum perforation secondary to blunt abdominal trauma: report of a case.
Ulus Travma Acil Cerrahi Derg. 2011 Jan; 17(1):93-5.UT

Abstract

Pneumomediastinum and subcutaneous emphysema are very rare reported signs of colonic perforation most often associated with diverticulitis, toxic megacolon and colonoscopy. We report a case of a 60-year-old man with subcutaneous emphysema and pneumomediastinum, which developed three days after a car accident without pneumothorax. A computed tomography scan demonstrated perforation of a sigmoid diverticulum in conjunction with air. A laparotomy was performed and revealed a perforated sigmoid diverticulum, fistulized into the retroperitoneal cavity. We suspect that this diverticular perforation was caused by the deterioration of the sigmoid mesocolon secondary to the blunt abdominal trauma. To our knowledge, this is the first report in the literature about pneumomediastinum and subcutaneous emphysema caused by sigmoid diverticular rupture following mesosigmoid trauma.

Authors+Show Affiliations

Department of General Surgery, Eskişehir Osmangazi University, Faculty of Medicine, Eskişehir, Turkey. fatih_yasar@yahoo.comNo affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

21341144

Citation

Yaşar, Necdet Fatih, et al. "Pneumomediastinum and Subcutaneous Emphysema Caused By Sigmoid Diverticulum Perforation Secondary to Blunt Abdominal Trauma: Report of a Case." Ulusal Travma Ve Acil Cerrahi Dergisi = Turkish Journal of Trauma & Emergency Surgery : TJTES, vol. 17, no. 1, 2011, pp. 93-5.
Yaşar NF, Kebapçı M, Ihtiyar E. Pneumomediastinum and subcutaneous emphysema caused by sigmoid diverticulum perforation secondary to blunt abdominal trauma: report of a case. Ulus Travma Acil Cerrahi Derg. 2011;17(1):93-5.
Yaşar, N. F., Kebapçı, M., & Ihtiyar, E. (2011). Pneumomediastinum and subcutaneous emphysema caused by sigmoid diverticulum perforation secondary to blunt abdominal trauma: report of a case. Ulusal Travma Ve Acil Cerrahi Dergisi = Turkish Journal of Trauma & Emergency Surgery : TJTES, 17(1), 93-5.
Yaşar NF, Kebapçı M, Ihtiyar E. Pneumomediastinum and Subcutaneous Emphysema Caused By Sigmoid Diverticulum Perforation Secondary to Blunt Abdominal Trauma: Report of a Case. Ulus Travma Acil Cerrahi Derg. 2011;17(1):93-5. PubMed PMID: 21341144.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Pneumomediastinum and subcutaneous emphysema caused by sigmoid diverticulum perforation secondary to blunt abdominal trauma: report of a case. AU - Yaşar,Necdet Fatih, AU - Kebapçı,Mahmut, AU - Ihtiyar,Enver, PY - 2011/2/23/entrez PY - 2011/2/23/pubmed PY - 2011/8/10/medline SP - 93 EP - 5 JF - Ulusal travma ve acil cerrahi dergisi = Turkish journal of trauma & emergency surgery : TJTES JO - Ulus Travma Acil Cerrahi Derg VL - 17 IS - 1 N2 - Pneumomediastinum and subcutaneous emphysema are very rare reported signs of colonic perforation most often associated with diverticulitis, toxic megacolon and colonoscopy. We report a case of a 60-year-old man with subcutaneous emphysema and pneumomediastinum, which developed three days after a car accident without pneumothorax. A computed tomography scan demonstrated perforation of a sigmoid diverticulum in conjunction with air. A laparotomy was performed and revealed a perforated sigmoid diverticulum, fistulized into the retroperitoneal cavity. We suspect that this diverticular perforation was caused by the deterioration of the sigmoid mesocolon secondary to the blunt abdominal trauma. To our knowledge, this is the first report in the literature about pneumomediastinum and subcutaneous emphysema caused by sigmoid diverticular rupture following mesosigmoid trauma. SN - 1306-696X UR - https://www.unboundmedicine.com/medline/citation/21341144/Pneumomediastinum_and_subcutaneous_emphysema_caused_by_sigmoid_diverticulum_perforation_secondary_to_blunt_abdominal_trauma:_report_of_a_case_ L2 - http://www.journalagent.com/pubmed/linkout.asp?ISSN=1306-696X&PMID=21341144 DB - PRIME DP - Unbound Medicine ER -