Reinhardt K
Rofo. 1979 Jul;131(1):50-3. doi: 10.1055/s-0029-1231375.
A 66-year-old patient developed a retropneumoperitoneum and pneumomediastinum after a proctoscopy. Following the examination, which was done as an out patient, he had some pain but was able to reach home without difficulty. Radiography of the abdomen on the next day showed definite gas collection round the right kidney and below the middle of the diaphragm. The mediastinum showed some translucencies consistent with cranial spread of air from the retropneumoperitoneum; it was particularly marked round the aorta. The film also showed supraclavicular emphysema. After being placed supine the patient's symptoms rapidly disappeared. There were no complications and no treatment was necessary. The case is discussed in relation to the relevant literature.
一名66岁患者在直肠镜检查后出现腹膜后积气和纵隔积气。在门诊进行检查后，他感到有些疼痛，但仍能顺利回家。次日腹部X线检查显示右肾周围和膈肌中部下方有明确的气体积聚。纵隔显示一些透亮区，与腹膜后积气的气体向头侧扩散一致；在主动脉周围尤为明显。胸片还显示锁骨上肺气肿。患者仰卧后症状迅速消失。无并发症，无需治疗。结合相关文献对该病例进行了讨论。
