Pneumopericardium and Subcutaneous Emphysema of the Neck. An Unusual Manifestation of Colonoscopic Perforation

Overview

Journal Surg Endosc

Publisher Springer

Specialties Gastroenterology
General Surgery
Radiology

Date 1992 May 1

PMID 1502682

Citations 6

Authors

S D Fitzgerald

A Denk

M Flynn

W E Longo

A M Vernava 3rd

Affiliations

Soon will be listed here.

Abstract

Subcutaneous neck emphysema has been reported infrequently following colonoscopic perforation and only a single case of pneumopericardium has been previously reported. The successful management of these patients in the literature has largely been non-operative. We report a case of colonoscopic perforation which presented with subcutaneous neck emphysema, pneumopericardium, and pneumoperitoneum that required operative intervention.

Citing Articles

Pneumoperitoneum, pneumoretroperitoneum, pneumomediastinum and extensive subcutaneous emphysema in a patient with ulcerative colitis: A case report.

Siddiqui U, Shahzad H, Raja A Int J Surg Case Rep. 2015; 17:12-5.

PMID: 26519809 PMC: 4701756. DOI: 10.1016/j.ijscr.2015.09.038.

Subcutaneous cervical emphysema and pneumomediastinum due to a lower gastrointestinal tract perforation.

Schmidt G, Bronkhorst M, Hartgrink H, Bouwman L World J Gastroenterol. 2008; 14(24):3922-3.

PMID: 18609721 PMC: 2721454. DOI: 10.3748/wjg.14.3922.

Tension pneumothorax secondary to colonic perforation during diagnostic colonoscopy: report of a case.

Ball C, Kirkpatrick A, MacKenzie S, Bagshaw S, Peets A, Temple W Surg Today. 2006; 36(5):478-80.

PMID: 16633757 DOI: 10.1007/s00595-005-3172-7.

Continuous left hemidiaphragm sign revisited: a case of spontaneous pneumopericardium and literature review.

Brander L, Ramsay D, Dreier D, Peter M, Graeni R Heart. 2002; 88(4):e5.

PMID: 12231618 PMC: 1767382. DOI: 10.1136/heart.88.4.e5.

An unusual cause of 'pain in the neck'.

Manjunath S, Trash D Postgrad Med J. 1998; 73(865):745-6.

PMID: 9519196 PMC: 2431582. DOI: 10.1136/pgmj.73.865.745.

References

Lezak M, Goldhamer M . Retroperitoneal emphysema after colonoscopy. Gastroenterology. 1974; 66(1):118-20. View

Macrae F, Tan K, Williams C . Towards safer colonoscopy: a report on the complications of 5000 diagnostic or therapeutic colonoscopies. Gut. 1983; 24(5):376-83. PMC: 1419999. DOI: 10.1136/gut.24.5.376. View

Taylor R, Weakley F, SULLIVAN Jr B . Non-operative management of colonoscopic perforation with pneumoperitoneum. Gastrointest Endosc. 1978; 24(3):124-5. DOI: 10.1016/s0016-5107(78)73481-4. View

AMSHEL A, SHONBERG I, Gopal K . Retroperitoneal and mediastinal emphysema as a complication of colonoscopy. Dis Colon Rectum. 1982; 25(2):167-8. DOI: 10.1007/BF02553267. View

Bakker J, van Kersen F, Bellaar Spruyt J . Pneumopericardium and pneumomediastinum after polypectomy. Endoscopy. 1991; 23(1):46-7. DOI: 10.1055/s-2007-1010607. View

Meyers M, Ghahremani G . Complications of fiberoptic Endoscopy. II. Colonoscopy. Radiology. 1975; 115(2):301-7. DOI: 10.1148/115.2.301. View

Overholt B, HARGROVE R, Farris R, Wilson B . Colonoscopic polypectomy: silent perforation. Gastroenterology. 1976; 70(1):112-3. View

Gordon M . Retroperitoneal emphysema from colonoscopy of the distal limb of a Hartmann colostomy. Gastrointest Endosc. 1975; 22(2):101-2. DOI: 10.1016/s0016-5107(75)73716-1. View

Hall C, Dorricott N, Donovan I, Neoptolemos J . Colon perforation during colonoscopy: surgical versus conservative management. Br J Surg. 1991; 78(5):542-4. DOI: 10.1002/bjs.1800780509. View

10.

Ecker M, Goldstein M, Hoexter B, HYMAN R, Naidich J, STEIN H . Benign pneumoperitoneum after fiberoptic colonoscopy. A prospective study of 100 patients. Gastroenterology. 1977; 73(2):226-30. View

11.

Meyers M . Radiological features of the spread and localization of extraperitoneal gas and their relationship to its source. An anatomical approach. Radiology. 1974; 111(1):17-26. DOI: 10.1148/111.1.17. View

12.

Carpio G, Albu E, Gumbs M, GERST P . Management of colonic perforation after colonoscopy. Report of three cases. Dis Colon Rectum. 1989; 32(7):624-6. DOI: 10.1007/BF02554186. View

13.

Smith L, Nivatvongs S . Complications in colonoscopy. Dis Colon Rectum. 1975; 18(3):214-20. DOI: 10.1007/BF02587277. View

14.

Vincent M, Smith L . Management of perforation due to colonoscopy. Dis Colon Rectum. 1983; 26(1):61-3. DOI: 10.1007/BF02554687. View

15.

Wertkin M, WETCHLER B, Waye J, Brown L . Pneumatosis coli associated with sigmoid volvulus and colonoscopy. Am J Gastroenterol. 1976; 65(3):209-14. View

16.

Humphreys F, Hewetson K, DELLIPIANI A . Massive subcutaneous emphysema following colonoscopy. Endoscopy. 1984; 16(4):160-1. DOI: 10.1055/s-2007-1018566. View

17.

Thomas J, Pierce G, Macarthur R . Bilateral pneumothoraces secondary to colonic endoscopy. J Natl Med Assoc. 1979; 71(7):701-2. PMC: 2537284. View

18.

McCollister D, Hammerman H . Air, air, everywhere: pneumatosis cystoides coli after colonoscopy. Gastrointest Endosc. 1990; 36(1):75-6. DOI: 10.1016/s0016-5107(90)70936-4. View

19.

Schmidt G, Borsch G, Wegener M . Subcutaneous emphysema and pneumothorax complicating diagnostic colonoscopy. Dis Colon Rectum. 1986; 29(2):136-8. DOI: 10.1007/BF02555400. View

20.

Heer M, Altorfer J, Pirovino M, Schmid M . Pneumatosis cystoides coli: a rare complication of colonoscopy. Endoscopy. 1983; 15(3):119-20. DOI: 10.1055/s-2007-1021484. View