乙状结肠穿孔继发皮下气肿、心包积气、纵隔气肿及腹膜后气肿：一例报告
Subcutaneous emphysema, pneumopericardium, pneumomediastinum and pneumoretroperitoneum secondary to sigmoid perforation: a case report.
作者信息
Murariu Daniel, Tatsuno Brent K, Tom Michael K, You Jae S, Maldini Gregorio
机构信息
Department of Surgery, John A. Burns School of Medicine, University of Hawai'i, Honolulu, 96813, USA.
出版信息
Hawaii J Med Public Health. 2012 Mar;71(3):74-7.
A 50-year-old woman presented with chronic epigastric abdominal pain and constipation. She underwent diagnostic upper and lower endoscopy for further evaluation. Several hours following the procedure, she developed chest and subcutaneous emphysema of her upper chest, neck, and face. A chest X-ray demonstrated marked subcutaneous emphysema, pneumopericardium, and pneumomediastinum. A CT scan revealed a small leak at the rectosigmoid junction. Because the patient did not have peritoneal signs, she was treated conservatively and discharged on hospital day seven. The complications of both esohagogastroduodenoscoy, and colonoscopy are discussed, with an emphasis on perforations.
一名50岁女性因慢性上腹部疼痛和便秘前来就诊。她接受了诊断性上消化道和下消化道内镜检查以进一步评估。检查后数小时，她出现了胸部以及上胸部、颈部和面部的皮下气肿。胸部X线显示明显的皮下气肿、心包积气和纵隔气肿。CT扫描显示直肠乙状结肠交界处有一个小瘘口。由于患者没有腹膜刺激征，她接受了保守治疗，并于住院第7天出院。本文讨论了食管胃十二指肠镜检查和结肠镜检查的并发症，重点是穿孔。
Zotero 插件