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Cir. parag ; 40(2): 31-33, nov. 2016. ilus
Article in Spanish | LILACS, BDNPAR | ID: biblio-972591

ABSTRACT

Se reporta dos casos de retroneumoperitoneo con neumo-mediastino, consecuencias de perforaciones diverticulares en el espacio retroperitoneal, en pacientes portadores de diverticulitis aguda y septicemia. En ambos casos no se comprobó contaminación peritoneal alguna, siendo sometidos a Colectomia parcial tipo Hartmann con buena evolución; al momento del reporte ambos han sido sometidos al restablecimiento del tránsito colo-rectal. Se discuten los problemas diagnósticos y los posibles mecanis-mos del paso del aire - y gérmenes bacterianos - al mediastino.


We report two cases of retropneumoperitoneum with pneumomediastinum, as a result of diverticular perforations in the retroperitoneal space, in patients with acute diverticulitis and septicemia. In both cases the patients underwent partial colectomy (Hartmann procedure) with good evolution, and no sign of peritoneal contamination was found. Currently both patients have undergone colorectal transit restoration. We discuss problems with the diagnosis and possible mechanism of the air and bacterial germ passage to the mediastinum.


Subject(s)
Male , Female , Humans , Adult , Cellulite/complications , Colonic Diseases/complications , Colonic Diseases/surgery , Diverticulitis, Colonic/complications , Diverticulitis, Colonic/surgery , Retropneumoperitoneum/complications , Retropneumoperitoneum/surgery , Retroperitoneal Space
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