Subcutaneous emphysema, pneumomediastinum, pneumopericardium, pneumorachis, and pneumoretroperitoneum
revealing an unknown foreign body aspiration.
was established, and under direct vision, another two ports were inserted.
Terada et al., "Massive pneumoretroperitoneum
arising from emphysematous cholecystitis: a case report and the literature review," BMC Gastroenterology, vol.
In case of extraperitoneal perforation, atypical signs and symptoms, such as rhinolalia, pneumomediastinum, pneumoretroperitoneum
, subcutaneous emphysema, dyspnea, and chest discomfort may develop [4, 5].
. * Biliary, portal vein or bowel wall gas.
Perforated hollow viscus may result in pneumoperitoneum or pneumoretroperitoneum
, depending on the location of perforation along the gastrointestinal tract [1, 2], and may lead to significant mortality and morbidity.
 reported a case of tension pneumothorax associated pneumoretroperitoneum
and perirenal air in an extremely low birth weight infant.
A case of subcutaneous emphysema, pneumomediastinum and pneumoretroperitoneum
associated with functional anorexia.
Pneumoperitoneum following this surgery seldom persists more than 1 to 2 weeks;[sup.10] however, several cases have been reported in the gastroenterologic literature of colonoscopic bowel perforations associated with neck pain, subcutaneous emphysema, and radiographic findings of pneumomediastinum with pneumoperitoneum and pneumoretroperitoneum
Complications occur in 3% of cases, are associated with poor prognosis and include obstruction, intussusception, volvulus, hemorrhage, intestinal perforation, pneumoperitoneum and pneumoretroperitoneum
After minimal working space in the retroperitoneum was made for port insertion, the OCTO port was inserted and C[O.sub.2] was insufflated to 15 mmHg for pneumoretroperitoneum
. After creating adequate working space, Gerota's fascia was opened, and the kidney upper pole was mobilized to expose the adrenal gland.
We present the case of combined pneumoperitoneum, pneumoretroperitoneum
, pneumomediastinum, pneumopericardium and subcutaneous emphysema after sub mucosal tear of the ascending colon, without evidence of intraperitoneal sepsis.