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Updated: Mar 28, 2026

Imaging Features of Systemic Sclerosis-Associated Interstitial Lung Disease
Published on: June 16, 2020
Extensive Subcutaneous Emphysema as a Presentation of Ischemic Colitis
Ana Franky Carvalho1, Claudio Branco2, Pedro Leão1
1Department of General Surgery, Hospital of Braga, 4710-243 Braga, Portugal ; Life and Health Sciences Research Institute (ICVS), School of Health Sciences, University of Minho, 4710-057 Braga, Portugal ; ICVS/3B's, PT Government Associate Laboratory, Guimarães, 4710-057 Braga, Portugal.
Abstract:
Introduction. Subcutaneous emphysema is usually benign and self-limited; however, it may be associated with a life-threating situation. Case Report. An elderly woman with progressive malaise with extensive subcutaneous emphysema (cervical to abdominal wall) was observed at the emergency department. Colonic perforation was diagnosed and the patient underwent surgery. Intraoperatively, necrosis and perforation of the sigmoid colon into the retroperitoneum were found and a Hartmann procedure was performed. Conclusion. Cervical and thoracic subcutaneous emphysema may be the first sign of intra-abdominal lesion.
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