Garofalo S, Aidala E, Teruzzi E, Pace Napoleone C, Carbonaro G, Cerrina A, De Filippi C, Schleef J
Clinic of General Pediatric Surgery, Children's Hospital "Regina Margher ita," "Città della Salute e della Scienza," Turin, Italy.
Clinic of Pediatric Cardiac Surgery, Children's Hospital "Regina Margherita," "Città della Salute e della Scienza," Turin, Italy.
Transplant Proc. 2015 Sep;47(7):2176-8. doi: 10.1016/j.transproceed.2014.11.076.
An emphysema in a lower limb is usually a clinical sign of a severe and life-threatening infection. We report a rare case of subcutaneous emphysema of the left lower limb associated with a massive retro-pneumoperitoneum and pneumatosis intestinalis after cardiac transplantation in a 4-year-old girl. The child was nearly asymptomatic beside an abdominal distension. A benign pneumoperitoneum associated with an extensive pneumatosis intestinalis is a rare complication after organ transplantation and should be treated conservatively. The association with an emphysema in a lower limb in a child has not been previously reported to our knowledge in the literature.
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