Holton Luther H, Migaly John, Rolandelli Rolando H
Department of Surgery, Temple University Hospital, Philadelphia, Pennsylvania 19140, USA.
Dis Colon Rectum. 2002 Apr;45(4):567-70. doi: 10.1007/s10350-004-6241-x.
This article presents the first known case of pneumorrhachis (spinal air), pneumomediastinum, pneumopericardium, pneumoretroperitoneum, and subcutaneous emphysema after proctocolectomy for ulcerative colitis. We review the patient's medical history, clinical and laboratory findings, radiographic data, and operative records, as well as the relevant literature. We describe the case of a young male with ulcerative colitis who developed pneumorrhachis, subcutaneous emphysema, pneumoretroperitoneum, pneumomediastinum, and pneumopericardium after a proctocolectomy with ileal pouch-anal anastomosis. Unlike the case we report, previously described episodes of pneumomediastinum and subcutaneous emphysema in patients with ulcerative colitis developed before operative intervention. We offer possible explanations for these unusual complications based on analysis of this case and thorough review of the literature.
本文介绍了首例已知的溃疡性结肠炎患者在直肠结肠切除术后出现脊髓积气（脊柱内气体）、纵隔气肿、心包积气、腹膜后积气和皮下气肿的病例。我们回顾了患者的病史、临床和实验室检查结果、影像学数据、手术记录以及相关文献。我们描述了一名患有溃疡性结肠炎的年轻男性病例，该患者在接受回肠袋肛管吻合术的直肠结肠切除术后出现了脊髓积气、皮下气肿、腹膜后积气、纵隔气肿和心包积气。与我们报道的病例不同，先前描述的溃疡性结肠炎患者纵隔气肿和皮下气肿发作是在手术干预之前出现的。基于对该病例的分析和对文献的全面回顾，我们对这些不寻常的并发症提供了可能的解释。
