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Hoarseness due to subcutaneous emphysema: a rare presentation of diverticular perforation
Sydney L Bormann1, Rebekah Wood1, Jenny M Guido1
1Department of Surgery, University of South Dakota Sanford School of Medicine, Sioux Falls, SD 57105, United States.
Abstract:
Pneumomediastinum and subcutaneous emphysema usually result from alveolar rupture and rarely from colonic perforation. Although steroid use has been shown to increase the risk of complicated diverticulitis, there is limited data on the role Addison's disease may play in the development of colonic perforation. We present a rare case of a patient with Addison's disease who presented with hoarseness and was found to have massive subcutaneous emphysema, pneumomediastinum, and pneumoretroperitoneum secondary to complicated diverticulitis.
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