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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.
Case Reports in Surgery
|December 15, 2015
Summary
Extensive subcutaneous emphysema, from the neck to the abdomen, can signal a serious intra-abdominal issue like colonic perforation. This case highlights the importance of investigating such extensive emphysema promptly.
Area of Science:
- Gastroenterology
- General Surgery
- Emergency Medicine
Background:
- Subcutaneous emphysema is typically a benign condition.
- However, it can sometimes indicate a severe underlying pathology.
- Prompt diagnosis is crucial for effective treatment.
Purpose of the Study:
- To report a case of extensive subcutaneous emphysema.
- To highlight the association between subcutaneous emphysema and intra-abdominal lesions.
- To emphasize the diagnostic significance of cervical and thoracic subcutaneous emphysema.
Main Methods:
- A case report of an elderly female patient presenting with malaise and extensive subcutaneous emphysema.
- Diagnostic workup including imaging and intraoperative findings.
- Surgical intervention for colonic perforation.
Main Results:
- The patient presented with widespread subcutaneous emphysema.
- Colonic perforation, specifically sigmoid colon perforation into the retroperitoneum, was diagnosed.
- A Hartmann procedure was performed during surgery.
Conclusions:
- Extensive subcutaneous emphysema, including cervical and thoracic involvement, can be an early indicator of intra-abdominal pathology.
- Colonic perforation should be considered in patients with widespread subcutaneous emphysema.
- Early recognition and surgical management are vital for life-threatening conditions associated with subcutaneous emphysema.
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