Martin W C, Nagai N, Diner W, Texter E C
Arch Intern Med. 1978 May;138(5):759-61.
It is important to realize that retroperitoneal emphysema may be seen as a complication of upper gastrointestinal endoscopy. Because of the increased frequency of endoscopic and associated procedures, it is important to realize that these striking roentgenographic findings may be associated with a benign clinical condition that will resolve with expectant management alone. Clinically, we might be forced to differentiate this complication with pathological perforation from the original lesion or with free perforation by the instrument depending on the clinical conditions.
重要的是要认识到，腹膜后气肿可能被视为上消化道内镜检查的一种并发症。由于内镜检查及相关操作的频率增加，认识到这些显著的X线表现可能与一种仅通过保守治疗就能缓解的良性临床状况相关很重要。临床上，根据临床情况，我们可能不得不将这种并发症与病理性穿孔以及器械导致的游离穿孔相鉴别，以区分其与原发病变。
