Subcutaneous Emphysema Caused by an Extraperitoneal Diverticulum Perforation: Description of Two Rare Cases and Review of the Literature
The onset of colon diverticular disease is a frequent event, with a prevalence that increases with age. Amongst possible complications, free peritoneal perforation with abscess formation may occur. We herein describe two rare presentations of an extraperitoneal sigmoid diverticulum perforation. Our...
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| Format: | Article |
| Language: | English |
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Wiley
2018-01-01
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| Series: | Case Reports in Surgery |
| Online Access: | http://dx.doi.org/10.1155/2018/3030869 |
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| author | Gael Kuhn Jean Bruno Lekeufack Michael Chilcott Zacharia Mbaidjol |
| author_facet | Gael Kuhn Jean Bruno Lekeufack Michael Chilcott Zacharia Mbaidjol |
| author_sort | Gael Kuhn |
| collection | DOAJ |
| description | The onset of colon diverticular disease is a frequent event, with a prevalence that increases with age. Amongst possible complications, free peritoneal perforation with abscess formation may occur. We herein describe two rare presentations of an extraperitoneal sigmoid diverticulum perforation. Our first patient, an 89-year-old female with no signs of distress, developed a subcutaneous abscess and emphysema in an incisional hernia following an appendectomy through a McBurney incision. The second patient, an 82-year-old female, was in general distress at the time of her admission and had a more advanced infection following the occurrence of a sigmoid perforation in a hernial sac. Complicated diverticulitis has a known course and evolution, but with an extraperitoneal presentation, this etiology is not expected. A computed tomography (CT) scan should be completed if the patient is hemodynamically stable, and wide debridement should be performed. Subcutaneous emphysema with an acute abdomen may be a sign of sigmoid perforation. Clinicians should keep this etiology in mind, regardless of the initial presentation. |
| format | Article |
| id | doaj-art-347a712a048346d38bb288a9dc90099d |
| institution | OA Journals |
| issn | 2090-6900 2090-6919 |
| language | English |
| publishDate | 2018-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Surgery |
| spelling | doaj-art-347a712a048346d38bb288a9dc90099d2025-08-20T02:24:05ZengWileyCase Reports in Surgery2090-69002090-69192018-01-01201810.1155/2018/30308693030869Subcutaneous Emphysema Caused by an Extraperitoneal Diverticulum Perforation: Description of Two Rare Cases and Review of the LiteratureGael Kuhn0Jean Bruno Lekeufack1Michael Chilcott2Zacharia Mbaidjol3Hôpital Fribourgeois Riaz, Rue de l’Hôpital 9, Case Postale 70, Riaz, 1632 Fribourg, SwitzerlandHôpital Fribourgeois Riaz, Rue de l’Hôpital 9, Case Postale 70, Riaz, 1632 Fribourg, SwitzerlandHôpital Fribourgeois Riaz, Rue de l’Hôpital 9, Case Postale 70, Riaz, 1632 Fribourg, SwitzerlandHôpital Fribourgeois Riaz, Rue de l’Hôpital 9, Case Postale 70, Riaz, 1632 Fribourg, SwitzerlandThe onset of colon diverticular disease is a frequent event, with a prevalence that increases with age. Amongst possible complications, free peritoneal perforation with abscess formation may occur. We herein describe two rare presentations of an extraperitoneal sigmoid diverticulum perforation. Our first patient, an 89-year-old female with no signs of distress, developed a subcutaneous abscess and emphysema in an incisional hernia following an appendectomy through a McBurney incision. The second patient, an 82-year-old female, was in general distress at the time of her admission and had a more advanced infection following the occurrence of a sigmoid perforation in a hernial sac. Complicated diverticulitis has a known course and evolution, but with an extraperitoneal presentation, this etiology is not expected. A computed tomography (CT) scan should be completed if the patient is hemodynamically stable, and wide debridement should be performed. Subcutaneous emphysema with an acute abdomen may be a sign of sigmoid perforation. Clinicians should keep this etiology in mind, regardless of the initial presentation.http://dx.doi.org/10.1155/2018/3030869 |
| spellingShingle | Gael Kuhn Jean Bruno Lekeufack Michael Chilcott Zacharia Mbaidjol Subcutaneous Emphysema Caused by an Extraperitoneal Diverticulum Perforation: Description of Two Rare Cases and Review of the Literature Case Reports in Surgery |
| title | Subcutaneous Emphysema Caused by an Extraperitoneal Diverticulum Perforation: Description of Two Rare Cases and Review of the Literature |
| title_full | Subcutaneous Emphysema Caused by an Extraperitoneal Diverticulum Perforation: Description of Two Rare Cases and Review of the Literature |
| title_fullStr | Subcutaneous Emphysema Caused by an Extraperitoneal Diverticulum Perforation: Description of Two Rare Cases and Review of the Literature |
| title_full_unstemmed | Subcutaneous Emphysema Caused by an Extraperitoneal Diverticulum Perforation: Description of Two Rare Cases and Review of the Literature |
| title_short | Subcutaneous Emphysema Caused by an Extraperitoneal Diverticulum Perforation: Description of Two Rare Cases and Review of the Literature |
| title_sort | subcutaneous emphysema caused by an extraperitoneal diverticulum perforation description of two rare cases and review of the literature |
| url | http://dx.doi.org/10.1155/2018/3030869 |
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