Anatomical and Radiological Considerations When Colonic Perforation Leads to Subcutaneous Emphysema, Pneumothoraces, Pneumomediastinum, and Mediastinal Shift

While colonoscopy is generally regarded as a safe procedure, colonic perforation can occur and the risk of this is higher when interventional procedures are undertaken. The presentation may be acute or delayed depending on the extent of the perforation. Extracolonic gas following colonic perforation...

Descripción completa

Detalles Bibliográficos
Autores principales: Abdalla, Sala, Gill, Rupinder, Yusuf, Gibran Timothy, Scarpinata, Rosaria
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Thieme Medical Publishers 2018
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5823697/
https://www.ncbi.nlm.nih.gov/pubmed/29479562
http://dx.doi.org/10.1055/s-0038-1624563
_version_ 1783301926120587264
author Abdalla, Sala
Gill, Rupinder
Yusuf, Gibran Timothy
Scarpinata, Rosaria
author_facet Abdalla, Sala
Gill, Rupinder
Yusuf, Gibran Timothy
Scarpinata, Rosaria
author_sort Abdalla, Sala
collection PubMed
description While colonoscopy is generally regarded as a safe procedure, colonic perforation can occur and the risk of this is higher when interventional procedures are undertaken. The presentation may be acute or delayed depending on the extent of the perforation. Extracolonic gas following colonic perforation can migrate to several body compartments that are embryologically related and it has previously been reported in the thorax, mediastinum, neck, scrotum, and lower limbs. This review discusses in detail the anatomical pathways that led to a rare case of widespread subcutaneous emphysema, bilateral pneumothoraces, pneumomediastinum, and mediastinal shift from colonic perforation during a diagnostic colonoscopy. This is further supported by a description of the radiological images.
format Online
Article
Text
id pubmed-5823697
institution National Center for Biotechnology Information
language English
publishDate 2018
publisher Thieme Medical Publishers
record_format MEDLINE/PubMed
spelling pubmed-58236972018-02-23 Anatomical and Radiological Considerations When Colonic Perforation Leads to Subcutaneous Emphysema, Pneumothoraces, Pneumomediastinum, and Mediastinal Shift Abdalla, Sala Gill, Rupinder Yusuf, Gibran Timothy Scarpinata, Rosaria Surg J (N Y) While colonoscopy is generally regarded as a safe procedure, colonic perforation can occur and the risk of this is higher when interventional procedures are undertaken. The presentation may be acute or delayed depending on the extent of the perforation. Extracolonic gas following colonic perforation can migrate to several body compartments that are embryologically related and it has previously been reported in the thorax, mediastinum, neck, scrotum, and lower limbs. This review discusses in detail the anatomical pathways that led to a rare case of widespread subcutaneous emphysema, bilateral pneumothoraces, pneumomediastinum, and mediastinal shift from colonic perforation during a diagnostic colonoscopy. This is further supported by a description of the radiological images. Thieme Medical Publishers 2018-02-22 /pmc/articles/PMC5823697/ /pubmed/29479562 http://dx.doi.org/10.1055/s-0038-1624563 Text en https://creativecommons.org/licenses/by/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Abdalla, Sala
Gill, Rupinder
Yusuf, Gibran Timothy
Scarpinata, Rosaria
Anatomical and Radiological Considerations When Colonic Perforation Leads to Subcutaneous Emphysema, Pneumothoraces, Pneumomediastinum, and Mediastinal Shift
title Anatomical and Radiological Considerations When Colonic Perforation Leads to Subcutaneous Emphysema, Pneumothoraces, Pneumomediastinum, and Mediastinal Shift
title_full Anatomical and Radiological Considerations When Colonic Perforation Leads to Subcutaneous Emphysema, Pneumothoraces, Pneumomediastinum, and Mediastinal Shift
title_fullStr Anatomical and Radiological Considerations When Colonic Perforation Leads to Subcutaneous Emphysema, Pneumothoraces, Pneumomediastinum, and Mediastinal Shift
title_full_unstemmed Anatomical and Radiological Considerations When Colonic Perforation Leads to Subcutaneous Emphysema, Pneumothoraces, Pneumomediastinum, and Mediastinal Shift
title_short Anatomical and Radiological Considerations When Colonic Perforation Leads to Subcutaneous Emphysema, Pneumothoraces, Pneumomediastinum, and Mediastinal Shift
title_sort anatomical and radiological considerations when colonic perforation leads to subcutaneous emphysema, pneumothoraces, pneumomediastinum, and mediastinal shift
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5823697/
https://www.ncbi.nlm.nih.gov/pubmed/29479562
http://dx.doi.org/10.1055/s-0038-1624563
work_keys_str_mv AT abdallasala anatomicalandradiologicalconsiderationswhencolonicperforationleadstosubcutaneousemphysemapneumothoracespneumomediastinumandmediastinalshift
AT gillrupinder anatomicalandradiologicalconsiderationswhencolonicperforationleadstosubcutaneousemphysemapneumothoracespneumomediastinumandmediastinalshift
AT yusufgibrantimothy anatomicalandradiologicalconsiderationswhencolonicperforationleadstosubcutaneousemphysemapneumothoracespneumomediastinumandmediastinalshift
AT scarpinatarosaria anatomicalandradiologicalconsiderationswhencolonicperforationleadstosubcutaneousemphysemapneumothoracespneumomediastinumandmediastinalshift

Ejemplares similares