Pneumoretroperitoneum, pneumomediastinum and subcutaneous ...

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Department of Surgery, University of Tor Vergata, Rome, Italy. Pneumoretroperitoneum, pneumomediastinum and subcutaneous emphysema of the neck after ...
Tech Coloproctol (2005) 9:86 DOI 10.1007/s10151-005-0202-9 THE LAST IMAGES

V. Filingeri • G. Gravante Department of Surgery, University of Tor Vergata, Rome, Italy

Pneumoretroperitoneum, pneumomediastinum and subcutaneous emphysema of the neck after stapled hemorrhoidopexy

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A 36-year-old man presented in our emergency department for postoperative fever and hypotension two days after stapled hemorrhoidopexy. Physical examination showed only a crepitus of the neck. A suture dehiscence was observed and sutured via a transanal route. 1 The contrast medium showed a leakage (arrow) in the anterior aspect of the rectal wall. 2 Neck radiograph showed the presence of subcutaneous air. 3 Computed tomogram outlined the leakage from the rectal wall. 4 Pneumoperitoneum. 5 Pneumomediastinum. 6 Subcutaneous emphysema