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Types of Fever

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Related Experiment Video

Updated: Jan 21, 2026

Author Spotlight: Surgical Methods and Outcomes in Oviductal Cloned Pig Embryo Transfers

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Published on: October 18, 2024

[A man with fever following laparotomy].

Hans Bezstarosti^1,2, Guy H E J Vijgen¹, Gaston J H Franssen¹

¹Erasmus MC, afd. Heelkunde, Rotterdam.

Nederlands Tijdschrift Voor Geneeskunde

|July 31, 2019

Summary

A patient with rectal cancer metastases developed neck emphysema after surgery. This was caused by sigmoid colon leakage, leading to pneumoperitoneum and mediastinal air.

Area of Science:

Gastroenterology
Surgical Oncology
Radiology

Background:

Rectal carcinoma with peritoneal metastases presents a complex surgical challenge.
Cytoreductive surgery aims to remove all visible tumor deposits.
Complications following extensive abdominal surgery require careful monitoring.

Observation:

An 80-year-old male underwent cytoreductive surgery for rectal cancer with peritoneal metastasis.
A wedge resection of the sigmoid colon was performed during the procedure.
Postoperatively, the patient developed subcutaneous emphysema in the neck region.

Findings:

Computed tomography (CT) scan revealed pneumoperitoneum, indicating free air in the abdominal cavity.
Air was also identified in the mediastinum, suggesting a pathway for gas migration.

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The pneumoperitoneum and mediastinal air were attributed to leakage from the sigmoid colon surgical site.

Implications:

Sigmoid colon integrity is critical after cytoreductive surgery for advanced rectal cancer.
Postoperative neck emphysema can be an indicator of intra-abdominal complications.
Radiological imaging is essential for diagnosing and managing such surgical complications.