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Chirurgia 2008 December;21(6):347-9

language: English

Subcutaneous emphysema, pneumomediastinum, and pneumoretroperitoneum, as signs of perforation of an occult sigmoid diverticolitis. A case report and literature review

Vasiliadis K. 1, Botsios D. 2, Katsamakas M. 1, Kogopollos E. 1, Karamitsos E. 1, Tsalikidis A. 1

1 Surgical Department, General Hospital, Kilkis, Greece
2 Surgical Department IV Aristotle University, Thessaloniki, Greece


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The aim of the study is to present a rare case of pneumomediastinum, pneumoretroperitoneum, and subcutaneous emphysema as signs of perforation of an occult sigmoid diverticulitis. We review patient’s clinical and laboratory findings, radiographic data, and surgical therapy. Furthermore, we offer possible explanations for these unusual complications based on analysis of this case and review of the literature.

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