Brunet C, Thomas P, Sielezneff I, Ugarte S, Giudicelli R, Sastre B, Farisse J
Urgences chirurgicales, Hôpitaux Sud, Marseille.
J Chir (Paris). 1995 Apr;132(4):198-200.
We report the case of a sixty-eight year old woman with chronic constipation, admitted in the emergency unit for respiratory deficiency and cervical subcutaneous emphysema. Endoscopy of the supradiaphragmatic air and digestive tracts was normal. Acutization of an abdominal syndrome required a laparotomy revealing a fissuration of the subperitoneal rectum on a fecal obstruction. This revealing complication may be explained by the topography of the cervico-thoraco-abdominal diffusion spaces.
我们报告了一例68岁患有慢性便秘的女性病例，该患者因呼吸功能不全和颈部皮下气肿入住急诊室。膈上气道和消化道的内镜检查结果正常。腹部综合征急性发作需要进行剖腹手术，术中发现腹膜下直肠因粪便梗阻出现裂伤。这一具有揭示意义的并发症可通过颈胸腹部扩散间隙的解剖结构来解释。
