Diverticular perforation

Published Date: 19th July 2016

Publication Authors: Chadwick M

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Abstract

An 81-year-old woman with stage 4 chronic kidney disease (focal segmental glomerulosclerosis) requiring steroids and immunosuppression with mycophenolate mofetil presented with left iliac fossa (LIF) pain, anorexia and rectal bleeding with mucus. Examination and investigations revealed no pyrexia, LIF tenderness, supraclavicular subcutaneous emphysema or leucocytopenia. An erect chest x-ray (figure 1) ruled out pneumoperitoneum but demonstrated extensive supraclavicular subcutaneous emphysema and pneumomediastinum. No pneumothorax was present.

Wiles, T; Mullett, R; Chadwick, M. (2014).  Diverticular perforation: An unusual cause of subcutaneous emphysema . Emergency Medicine Journal . 31 (3), 259-60

 

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