Pneumomediastinum, Pneumoretroperitoneum, Pneumoperitoneum and Subcutaneous Emphysema Secondary to a Penetrating Anal Injury

Simultaneous occurrence of pneumoperitoneum, pneumoretroperitoneum, pneumomediastinum and subcutaneous emphysema is rare. The most reported mechanisms are barotrauma, thermal injury and instrument puncture caused by colonoscopy. Ectopic air may travel into different body compartments through distinc...

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Published inDiagnostics (Basel) Vol. 11; no. 4; p. 707
Main Authors Hsiao, Yu-Ting, Lin, Shyh-Wen, Chuang, Pei Wen, Tsai, Ming-Jen
Format Journal Article
LanguageEnglish
Published Switzerland MDPI AG 15.04.2021
MDPI
Subjects
Abdomen
Colonoscopy
Conflicts of interest
Emphysema
Hospitalization
Interesting Images
Laboratories
Ostomy
Pain
Patients
Peritonitis
pneumomediastinum
pneumoperitoneum
pneumoretroperitoneum
Pneumothorax
subcutaneous emphysema
pneumomediastinum
pneumoperitoneum
pneumoretroperitoneum
subcutaneous emphysema
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Summary:Simultaneous occurrence of pneumoperitoneum, pneumoretroperitoneum, pneumomediastinum and subcutaneous emphysema is rare. The most reported mechanisms are barotrauma, thermal injury and instrument puncture caused by colonoscopy. Ectopic air may travel into different body compartments through distinct anatomical fascial planes. Definite curative treatment involves surgical repair of the bowel wall defect. Conservative treatment is available in selected patients. Here, we present a case of traumatic penetrating rectal injury leading to developing air in the peritoneum, retroperitoneum, mediastinum, and subcutaneous space with good recovery under conservative treatment.
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Yu-Ting Hsiao and Shyh-Wen Lin contributed equally to this work.
ISSN:2075-4418
2075-4418
DOI:10.3390/diagnostics11040707