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Cervical Subcutaneous Emphysema; Sequelae from Occult Perforation of Sigmoid Diverticulum

DOI: 10.4236/ijcm.2010.12015    6,120 Downloads   9,462 Views   Citations

ABSTRACT

Background: An elderly lady presented with dyspnoea due to congestive cardiac failure. She was subsequently noted to have cervi-cal subcutaneous emphysema. Post mortem identified an occult perforation of a sigmoid diverticulum. Cervical subcutaneous em-physema is a recognised complication of gastrointestinal perforation; however, it is normally associated with upper gastrointestinal pathology, procedure related or sequel of existing disease. Summary: A perforated sigmoid diverticulum is a very rare cause of cer-vical subcutaneous emphysema. In this patient, signs and symptoms of peritonism were also late in onset and the location of the per-foration was not found despite high resolution imaging being used.

Conflicts of Interest

The authors declare no conflicts of interest.

Cite this paper

M. Choudhury and M. Vassallo, "Cervical Subcutaneous Emphysema; Sequelae from Occult Perforation of Sigmoid Diverticulum," International Journal of Clinical Medicine, Vol. 1 No. 2, 2010, pp. 78-80. doi: 10.4236/ijcm.2010.12015.

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