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Subcutaneous emphysema: a rare manifestation of a perforated diverticulitis in a patent inguinal canal

de Vries, Lambert ; Knoepfli, Anne-Sophie ; Konstantinidis, Philippe ; Charbonney, Emmanuel

In: Hernia, 2007, vol. 11, no. 3, p. 261-263

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    Titel
    • Subcutaneous emphysema: a rare manifestation of a perforated diverticulitis in a patent inguinal canal
    Autor
    • de Vries, Lambert. Internal Medicine Department, University Hospital Geneva, Rue Micheli-Du-Crest 24, 1211, Geneva 14, Switzerland
    • Knoepfli, Anne-Sophie. Radiology Department, University Hospital Geneva, Rue Micheli-Du-Crest 24, 1211, Geneva 14, Switzerland
    • Konstantinidis, Philippe. Surgery Department, University Hospital Geneva, Rue Micheli-Du-Crest 24, 1211, Geneva 14, Switzerland
    • Charbonney, Emmanuel. Intensive Care Department, University Hospital Geneva, Rue Micheli-Du-Crest 24, 1211, Geneva 14, Switzerland
    Dokumententyp
    • Postprint
    OAI-PMH-ID
    • oai:doc.rero.ch:314272
    Summary
    Patients with complicated diverticulitis rarely present with extraperitoneal manifestations but the manifestation of subcutaneous emphysema appears even more seldom. We present the case of a patient with a history of diabetes and immunosuppression, who was admitted with sepsis in association with cellulitis and subcutaneous emphysema of the left groin. The absence of peritonism due to corticosteroid treatment, a history of a recent fall with an ilio- and ischio-pubic fracture and subcutaneous emphysema led to a delay in the diagnosis. The final diagnosis was a perforated diverticulitis in a patent inguinal canal, which was only revealed after surgery. The various complications of diverticulitis, including extraperitoneal manifestations, and associated microorganisms implicated in cellulitis and subcutaneous emphysema are briefly reviewed