Bowel Perforation Presenting as Head and Neck Subcutaneous Emphysema

This patient with Crohn's disease underwent endoscopic balloon dilatation of an ileocolic stricture, and shortly thereafter developed subcutaneous emphysema in the soft tissues of her face, neck, and chest wall. Clinical evaluation and imaging revealed peritonitis from perforated bowel. She und...

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Veröffentlicht in:The American surgeon 2023-04, Vol.89 (4), p.1258-1260
Hauptverfasser: Leto, Dezarae R., Clar, Derek T., Goodman, David A.
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Clar, Derek T.
Goodman, David A.
description This patient with Crohn's disease underwent endoscopic balloon dilatation of an ileocolic stricture, and shortly thereafter developed subcutaneous emphysema in the soft tissues of her face, neck, and chest wall. Clinical evaluation and imaging revealed peritonitis from perforated bowel. She underwent laparotomy and bowel resection and recovered well. Subcutaneous emphysema in the head and neck from perforated bowel is a rare but recognized presentation of viscus perforation.
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subjects Abdomen
Balloon treatment
Colon
Colonoscopy
Crohn Disease
Crohn's disease
Emergency medical care
Emphysema
Endoscopy
Female
Gastroenterology
Head
Head and neck
Humans
Intestinal Perforation - diagnostic imaging
Intestinal Perforation - etiology
Intestine
Medical imaging
Neck
Pain
Peritonitis
Soft tissues
Subcutaneous Emphysema - diagnostic imaging
Subcutaneous Emphysema - etiology
title Bowel Perforation Presenting as Head and Neck Subcutaneous Emphysema
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