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Subcutaneous emphysema caused by perforating perisigmoiditis.

A V Bloch, J F Larsen, H H Lausten-Thomsen

Acta Chirurgica Scandinavica

|August 1, 1986

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Subcutaneous emphysema in the abdominal and thoracic walls occurred due to perisigmoiditis with perforation. This rare condition presented without pneumoperitoneum, highlighting a unique clinical presentation.

Area of Science:

Gastroenterology
General Surgery

Background:

Subcutaneous emphysema, the presence of air in the subcutaneous tissue, can arise from various causes.
Perisigmoiditis, inflammation of the sigmoid colon's outer layer, is an uncommon etiology for widespread emphysema.

Observation:

A case is presented involving extensive subcutaneous emphysema affecting the abdominal and thoracic walls.
The emphysema originated from a perforation associated with perisigmoiditis.

Findings:

The primary finding was the direct link between perisigmoiditis and subcutaneous emphysema of the abdominal and thoracic walls.
Crucially, there was an absence of pneumoperitoneum, differentiating this case from typical presentations of intra-abdominal perforation.

Implications:

Related Experiment Videos

This case underscores the importance of considering gastrointestinal perforation, even in the absence of pneumoperitoneum, as a cause of subcutaneous emphysema.
Understanding this rare presentation can aid clinicians in diagnosing and managing similar complex cases of emphysema.