Gülhan KURTOĞLU ÇELİK, Tolga ÖZOĞUL, Güllü ERCAN HAYDAR, Havva ŞAHİN KAVAKLI, Ferhat İÇME, Ugur OZKULA

Pneumomediastinum and subcutaneous emphysema after unilateral salpingo-oophorectomy: A case report

Pneumomediastinum is characterized by localized air in mediastinum after perforation of organs of respiratory system or digestive system and it is associated with many disease such as blunt trauma, barotrauma, retropharyngeal abscess, acute asthma attack, Boerhaave syndrome. We present a 48 year old female patient who had pneumomediastinum after left salphingo oophorectomy and we wanted to increase awareness of emergency physicians about diagnosis and treatment of postoperative pneumomediastinum.

Keywords:

Abdominal pain, Emergency medicine, Pneumomediastinum, Postoperative period,

PDF

___

Besic, N., Zgajnar, J., Kocijancic I., 2004. Pneumomediastinum, pneumopericardium, and pneumoperitoneum caused by peridiverticulitis of the colon. report of a case. Dis Colon Rectum. 47, 766-768.
Brunett, P.H., Yarris, L.M., Cevik, A.A., 2011. Pulmonary trauma. In Tintinalli’s Emergency Medicine: A Comprehensive Study Guide, Vol. 258, J.E., Kelen G.D.,Stapczynski J.S, eds. Mc Graw-Hill, New York, pp. 1744-1758.
Choi, P. W., 2011. Pneumomediastinum caused by colonic diverticulitis perforation. J. Korean Surg. Soc. 80, 17-20.
Demirel, A., Aynacı, E., Özgül, M.A., Özgül, G., Uysal, M.A., 2008. Primary spontaneous pneumomediastinum. Solunum. 10, 71-73.
Goerg, K.J., Düber C., 1996. Retroperitoneal, mediastinal and subcutaneous emphysema with pneumothorax after colonoscopy. Dtsch. Med. Wochenschr. 121, 693-693.
Ho, H.C., Burchell, S., Morris, P., Yu, M., 1996. Colon perforation, bilateral pneumothoraces, pneumopericardium, pneumomediastinum, and subcutaneous emphysema complicating endoscopic polypectomy: Anatomic and management considerations. Am. Surg. 62, 770-774.
Hu, M., Green, R., Gungor, A., 2013. Pneumomediastinum and subcutaneous empysema from bronchial foreign body aspiration. Am. J. Otolaryngol.Head and Neck Medicine and Surgery. 34, 85-88.
Marwan, K., Farmer, K.C., Varley, C., Chapple, K.S., 2007. Pneumothorax, pneumomediastinum, pneumoperitoneum, pneumoretroperitoneum and subcutaneous emphysema following diagnostic colonoscopy. Ann. R. Coll Surg. Engl. 89, 20-21.
Meron, G., Kurkciyan, K.T.I., 2002 Self-induced subcutaneous emphysema and pneumomediastinum. Chest. 122, 386.
Mogan, G.R., Sachar, D.B., Bauer, J., Salky, B., Janowitz, H.D., 1980. Toxic megacolon in ulcerative colitis complicated by pneumomediastinum: Report of two cases. Gastroenterology. 79, 559-562.
Park, J.M., Park, Y.C., Lee, J.N., Bae, J.S., 2013. Pneumomediatinum after functional endoscopic sinüs surgery-A case report. Korean J. Anesthesiol. 64, 367-372.
Prêtre, R., Rohner, A., 1992. Pneumomediastinum and subcutaneous cervical emphysema as signs of rectosigmoid perforation. Gastroenterol. Clin. Biol. 16, 460-462.
Ramia, J.M., Pardo, R., Cubo, T., Padilla, D., Hernandez-Calvo, J., 1999. Pneumomediastinum as a complication of extraperitoneal laparoscopic inguinal hernia repair. JSLS. 3, 233-234.
Soliani, G., Dominici, M., Bergossi, L., Basaglia, E., Pauli, S., Carcoforo, P., 2002. Acute colon diverticulitis in multiple myeloma patient: An unusual presentation of a colonic perforation. Case report. Ann. Ital. Chir. 73, 643-646.
Wintermark, M., Schnyder, P., 2001. The Macklin effect: A frequent etiology for pneumomediastinum in severe blunt chest trauma. Chest. 120, 543.
Yaşar, N.F., Kebapçı, M., İhtiyar, E., 2011. Pneumomediastinum and subcutaneous emphysema caused by sigmoid diverticulum perforation secondary to blunt abdominal trauma: Report of a case. Ulus Travma Acil Cerrahi Derg. 17, 93-95.
Zylak, C.M., Standen, J.R., Barnes, G.R., Zylak, C.J., 2000. Pneumo- mediastinum revisited. Radiographics. 20, 1043- 1057.