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1.
Soonchunhyang Medical Science ; : 77-80, 2017.
Artigo em Coreano | WPRIM | ID: wpr-18752

RESUMO

A 5-year-old boy was on medication after diagnosed with infantile spasm, and had regular diet with bedridden state. The patient had intermittent fever and cough lasting 1 week before admission. Symptom was worsened from the night before the first day of admission, and chest swelled up on the day of admission. Chest computed tomography (CT) was performed and showed extensive subcutaneous emphysema in neck, thorax, and abdomen. Pneumomediastinum, pneumoretroperitoneum, and right lung atelectasis was accompanied. An emergency bronchoscopy was performed because of the suspicion of complete obstruction of left main bronchus. The distal part of left main bronchus was completely obstructed by multiple polypoid masses. The mass was removed with a laser incision, and a foreign body surrounded by mucus was found. It was removed with a forceps. At 2 days after the removal, the subcutaneous emphysema was improved, and the chest CT taken 14 days later showed stenosis but no obstruction.


Assuntos
Pré-Escolar , Humanos , Lactente , Recém-Nascido , Masculino , Abdome , Brônquios , Broncoscopia , Constrição Patológica , Tosse , Dieta , Emergências , Febre , Corpos Estranhos , Pulmão , Enfisema Mediastínico , Muco , Pescoço , Atelectasia Pulmonar , Retropneumoperitônio , Espasmos Infantis , Enfisema Subcutâneo , Instrumentos Cirúrgicos , Tórax , Tomografia Computadorizada por Raios X
2.
The Korean Journal of Gastroenterology ; : 145-149, 2017.
Artigo em Inglês | WPRIM | ID: wpr-21597

RESUMO

Colonoscopy is a commonly performed endoscopic procedure. Although it is generally considered to be safe, serious complications, such as colorectal perforation, can occur. Most colonic perforations are intraperitoneal and cause pneumoperitoneum with acute abdominal pain as the initial symptom. However, extraperitoneal perforations with pneumoretroperitoneum may happen, albeit rarely, with atypical initial symptoms. We report a rare case of rectosigmoid perforation occurring after diagnostic colonoscopy that developed into pneumoretroperitoneum, pneumomediastinum, pneumothorax, and subcutaneous emphysema, with a change in voice and neck swelling as the initial symptoms. The patient was successfully treated with endoscopic closure of the perforation and conservative management.


Assuntos
Humanos , Dor Abdominal , Colo , Colonoscopia , Enfisema Mediastínico , Pescoço , Pneumoperitônio , Pneumotórax , Retropneumoperitônio , Enfisema Subcutâneo , Voz
3.
Annals of Coloproctology ; : 115-118, 2017.
Artigo em Inglês | WPRIM | ID: wpr-153462

RESUMO

Transanal endoscopic microsurgery is considered a safe, appropriate, and minimally invasive approach, and complications after endoscopic microsurgery are rare. We report a case of sepsis and pneumoretroperitoneum after resection of a rectal lateral spreading tumor. The patient presented with rectal mucous discharge. Colonoscopy revealed a rectal lateral spreading tumor. The patient underwent an endoscopic transanal resection of the lesion. He presented with sepsis of the abdominal focus, and imaging tests revealed pneumoretroperitoneum. A new surgical intervention was performed with a loop colostomy. Despite the existence of other reports on pneumoretroperitoneum after transanal endoscopic microsurgery, what draws attention to this case is the association with sepsis.


Assuntos
Humanos , Colonoscopia , Colostomia , Microcirurgia , Retropneumoperitônio , Sepse , Microcirurgia Endoscópica Transanal
4.
Cir. parag ; 40(2): 31-33, nov. 2016. ilus
Artigo em Espanhol | LILACS, BDNPAR | ID: biblio-972591

RESUMO

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.


Assuntos
Masculino , Feminino , Humanos , Adulto , Celulite/complicações , Doenças do Colo/complicações , Doenças do Colo/cirurgia , Doença Diverticular do Colo/complicações , Doença Diverticular do Colo/cirurgia , Retropneumoperitônio/complicações , Retropneumoperitônio/cirurgia , Espaço Retroperitoneal
5.
GED gastroenterol. endosc. dig ; 35(3): 109-113, jul.-set. 2016. ilustrado
Artigo em Português | LILACS | ID: biblio-2445

RESUMO

Complicações relacionadas à colangiopancreatografia retrógrada endoscópica (CPRE) incluem pancreatite, hemorragia, colangite e perfuração. A perfuração relacionada à CPRE é infrequente, entretanto apresenta taxas de mortalidades elevadas. O diagnóstico requer um alto grau de suspeição clínica para a detecção precoce para permitir o tratamento adequado da perfuração e melhor prognóstico. O tratamento depende da localização e mecanismo da perfuração. Relatamos um caso de tratamento não operatório de um paciente com extenso retropneumoperitônio após perfuração por CPRE.


Complications related to endoscopic retrograde cholangiopancreatography (ERCP) include pancreatitis, hemorrhage, cholangitis, and perforation. ERCP-related perforation is uncommon, but mortality rates are high. Diagnosis requires a high clinical suspicion for early detection to allow optimalmanagement of the perforation and a better prognosis. Treatment depends on the location and mechanism and increasingly involves nonoperative management. We report a case of successful nonsurgical treatment of a patient with extensive air involving the peritoneum, retroperitoneum, thorax, mediastinum, and subcutaneous tissues following an ERCP perforation.


Assuntos
Humanos , Masculino , Pessoa de Meia-Idade , Retropneumoperitônio , Colangiopancreatografia Retrógrada Endoscópica , Perfuração Intestinal
6.
Annals of Coloproctology ; : 234-238, 2016.
Artigo em Inglês | WPRIM | ID: wpr-225104

RESUMO

An endoscopic mucosal resection (EMR) is an effective and safe therapeutic technique for treating a patient with a laterally-spreading tumor (LST). Colonoscopic-procedure-related complications are noted to be about 2.8% worldwide, and a perforation is the most common. Most colon perforations cause pneumoperitoneum. However, a perforation within the retroperitoneal portion of the colon (rectum and some of sigmoid colon) may cause an extraperitoneal perforation, and the leaking free air may induce pneumoretroperitoneum, pneumomediastinum, and subcutaneous emphysema, depending on the amount of discharged air. Herein, we present the case of a patient with an extraperitoneal colon microperforation which manifested as pneumoretroperitoneum, pneumomediastinum, and subcutaneous emphysema after an EMR for a sigmoid LST, which was successfully treated with medical treatment and endoscopic clipping.


Assuntos
Humanos , Colo , Colo Sigmoide , Colonoscopia , Enfisema Mediastínico , Pneumoperitônio , Retropneumoperitônio , Enfisema Subcutâneo
7.
Obstetrics & Gynecology Science ; : 249-252, 2016.
Artigo em Inglês | WPRIM | ID: wpr-123077

RESUMO

We describe an unusual case of delayed retropneumoperitoneum caused by a deep vaginal laceration as a result trauma from a water jet in a fountain. A 7-year-old premenarcheal girl presented to the emergency department after experiencing an injury from a water jet at a fountain park. Initially, the patient's vital sign and perineum were within normal range. Because the patient's vital signs became unstable 12 hours after vaginal injury, we carried out abdomino-pelvic computed tomography resulting in retropneumoperitoneum. Arterial bleeding from vaginal lateral wall was founded and controlled by electrocoagulation. No damage to the rectum was laparoscopically confirmed. A diagnostic laparoscopy, not laparotomy, should be considered in cases of retropneumoperitoneum with an ambiguous cause first.


Assuntos
Criança , Feminino , Humanos , Eletrocoagulação , Serviço Hospitalar de Emergência , Hemorragia , Lacerações , Laparoscopia , Laparotomia , Períneo , Reto , Valores de Referência , Retropneumoperitônio , Vagina , Sinais Vitais , Água
8.
Korean Journal of Medicine ; : 54-59, 2015.
Artigo em Coreano | WPRIM | ID: wpr-49743

RESUMO

Endoscopic submucosal dissection (ESD) is widely accepted as an alternative treatment to surgical resection for gastric neoplastic lesions. Among the complications of gastric ESD, perforation is usually manifested as a pneumoperitoneum. Here, we report a patient with a right-sided pneumothorax, pneumoperitoneum, and pneumoretroperitoneum as complications of gastric ESD. The patient recovered without further complications using conservative treatment, including endoscopic clipping, nasogastric drainage, and insertion of a chest tube.


Assuntos
Humanos , Tubos Torácicos , Drenagem , Endoscopia , Pneumoperitônio , Pneumotórax , Retropneumoperitônio
9.
Korean Journal of Hepato-Biliary-Pancreatic Surgery ; : 25-29, 2015.
Artigo em Inglês | WPRIM | ID: wpr-47876

RESUMO

BACKGROUNDS/AIMS: Pneumatosis intestinalis (PI) is a condition in which multiple gas-filled mural cysts develop in the gastrointestinal tract. Although its exact etiology remains obscure, PI is rarely observed in liver transplant (LT) recipients. METHODS: In 317 cases of adult living donor LT (LDLT) performed during 2011, PI developed in three patients during the 3 year follow-up. RESULTS: Of these three patients, the two who demonstrated PI at 6 weeks and 2 months after LT, respectively, were asymptomatic and showed no signs of secondary complications. Diagnosis was made incidentally using abdominal radiographs and computed tomography (CT) scans. PI was identified in the right ascending colon with concomitant pneumoperitoneum. These two patients received supportive care and maintained a regular diet. Follow-up CT scans demonstrated spontaneous resolution of PI with no complications. The third patient was admitted to the emergency room 30 months after LDLT. His symptoms included poor oral intake and intermittent abdominal pain with no passage of gas. Abdominal radiography and CT scans demonstrated PI in the entire small bowel, with small bowel dilatation, pneumoperitoneum, and pneumoretroperitoneum, but no peritonitis. Physical examination revealed abdominal distension but no tenderness or rebound tenderness. After 1 week of conservative treatment, including bowel rest and antibiotics therapy, PI and pneumoperitoneum resolved spontaneously without complications. CONCLUSIONS: We suggest that adult LDLT recipients who develop asymptomatic or symptomatic PI with no signs of secondary complications can be successfully managed with conservative treatment.


Assuntos
Adulto , Humanos , Dor Abdominal , Antibacterianos , Colo Ascendente , Diagnóstico , Dieta , Dilatação , Serviço Hospitalar de Emergência , Seguimentos , Trato Gastrointestinal , Fígado , Transplante de Fígado , Doadores Vivos , Peritonite , Exame Físico , Pneumoperitônio , Radiografia Abdominal , Retropneumoperitônio , Tomografia Computadorizada por Raios X
10.
J. coloproctol. (Rio J., Impr.) ; 34(4): 265-268, Oct-Dec/2014. ilus
Artigo em Inglês | LILACS | ID: lil-732571

RESUMO

Introduction: Endoscopic submucosal dissection (ESD) is an already established procedure in the treatment of gastric and esophageal cancer in its early stages. Colorectal lesions, initially approached by endoscopic mucosal resection en bloc or in fragments, are the current focus for submucosal approach, especially for superficial lateral spreading tumor of 20 mm-diameter. The experience of Japanese centers, which are reference in therapeutic endoscopy, demonstrates reduction in the rate of disease recurrence with this approach and, according to specific histopathological criteria, may avoid colectomy in some cases of malignant neoplasia. Case report: The patient was 50-year-old female. She underwent endoscopic submucosal dissection of a rectal lateral spreading tumor measuring 50 mm, located 8 cm from the anal margin. The procedure was performed without major complications, with just two points for muscle layer detachment, without gross perforation and closed with metal clips. However, the patient developed air leakage to the peritoneum, retroperitoneum, mediastinum and subcutaneous tissue, being only treated with clinical procedures and without additional intervention. Conclusion: It is vital to know and be able to apply the technique of ESD, in addition to addressing its complications, since despite the numerous benefits compared to surgery, ESD can result in serious outcomes. (AU)


Introdução: A dissecção endoscópica da submucosa (ESD) já é procedimento consagrado no tratamento do câncer gástrico e esofagiano em suas fases precoces. As lesões colorre-tais, inicialmente abordadas por mucossectomia, em bloco ou em fragmentos, são o foco atual para a abordagem submucosa, principalmente para os tumores de crescimento lateral superficial a partir de 20 mm de diâmetro. A experiência de centros japoneses, referências em endoscopia terapêutica, demonstram redução no índice de recidiva da doença com esta abordagem e, segundo critérios histopatológicos específicos, podem evitar uma colectomia em alguns casos de neoplasia maligna. Relato de caso: Trata-se de paciente de 50 anos, submetida à dissecção endoscópica da submucosa de lesão de crescimento lateral, com 50 mm, localizada no reto, a 8 cm da margem anal. O procedimento foi realizado sem maiores intercorrências, com apenas dois pontos de afastamento da muscular, sem perfuração grosseira, fechados com clipe. Entretanto, a paciente evoluiu com escape aéreo para peritônio, retroperitônio, mediastino e subcútis, sendo tratada sem intervenção adicional, apenas com manejo clínico. Conclusão: É de fundamental importância conhecer e saber aplicar a técnica da ESD, além de abordar suas complicações, uma vez que, mesmo repleta de benefícios em relação à cirurgia, ela pode apresentar desfechos graves. (AU)


Assuntos
Humanos , Feminino , Pessoa de Meia-Idade , Retropneumoperitônio/diagnóstico , Enfisema Subcutâneo/diagnóstico , Ressecção Endoscópica de Mucosa/efeitos adversos , Enfisema Mediastínico/diagnóstico , Colonoscopia
11.
Annals of Coloproctology ; : 256-258, 2013.
Artigo em Inglês | WPRIM | ID: wpr-42222

RESUMO

Procedure for prolapsed hemorrhoid (PPH) is well recognized alternative to the traditional hemorrhoidectomy, and is associated with reduced pain and earlier return to normal activity. Over the past decade, there have been reports of severe life-threatening complications after a PPH, although the incidence is very low. Rectal perforation due to staple-line dehiscence is one of the serious complications that can cause severe pelvic sepsis or a pneumoretroperitoneum. Here, the first Korean case of a pneumoretroperitoneum due to staple-line dehiscence is described.


Assuntos
Hemorroidectomia , Hemorroidas , Incidência , Retropneumoperitônio , Sepse
14.
Chinese Medical Journal ; (24): 4747-4751, 2013.
Artigo em Inglês | WPRIM | ID: wpr-341746

RESUMO

<p><b>BACKGROUND</b>The ability of pneumoperitoneum in laparoscopic surgery to promote proliferation and metastasis of colorectal cancer has become a focus of research in the field of minimally invasive surgery. The aim of this research was to investigate the effect of CO2 pneumoperitoneum under different pressures and exposed times on the expression of chemokine receptors in colorectal carcinoma cells.</p><p><b>METHODS</b>We constructed an in vitro pneumoperitoneum model. SW480 colon carcinoma cells were exposed to CO2 pneumoperitoneum under different pressures (6, 9, 12, and 15 mmHg) for 1, 2, and 4 hours. These cells were then cultivated under the same conditions as normal SW480 colon carcinoma cells without CO2 pneumoperitoneum (control group), treated at 37°C, and 5% CO2. The expression of the chemokine receptors CXC receptor 4 (CXCR4) and chemokine C receptor 7 (CCR7) was detected by immunocytochemistry and reverse transcriptase polymerase chain reaction after being cultivated for 0, 24, 48, and 72 hours.</p><p><b>RESULTS</b>Immunocytochemistry showed that CXCR4 expression in SW480 cells was significantly decreased in the 6, 9, 12, and 15 mmHg CO2 pneumoperitoneum-treated groups for the same exposure times compared with controls (P < 0.05). CCR7 expression in SW480 cells was significantly decreased in the 12 and 15 mmHg CO2 pneumoperitoneum-treated groups compared with controls (P < 0.05). CXCR4 and CCR7 expression increased up to the level of the control group after 24 and 48 hours (P > 0.05). If the CO2 pneumoperitoneum pressure increased, CXCR4 and CCR7 expression decreased at all exposure times. If the CO2 pneumoperitoneum exposure time prolonged, there were no significant differences in CXCR4 and CCR7 expression under the same pressure. Under all exposure times, CXCR4 and CCR7 mRNA expression was significantly decreased in the 6, 9, 12, and 15 mmHg CO2 pneumoperitoneum-treated groups (P < 0.05) compared with controls, and it increased up to the level of controls after being cultivated for 48 hours (P > 0.05). If the CO2 pneumoperitoneum pressure increased (with all exposure times) and exposure time prolonged (under the same pressure), there were no significant differences in CXCR4 and CCR7 expression.</p><p><b>CONCLUSIONS</b>CXCR4 and CCR7 expression is temporarily affected after continuous CO2 pneumoperitoneum treatment. The high pressure of CO2 pneumoperitoneum plays an important role in suppressing the expression of these chemokine receptors. Different lengths of time of exposure to a CO2 pneumoperitoneum-like environment do not change CXCR4 and CCR7 expression.</p>


Assuntos
Humanos , Dióxido de Carbono , Linhagem Celular Tumoral , Neoplasias Colorretais , Metabolismo , Receptores CCR7 , Metabolismo , Receptores CXCR4 , Metabolismo , Retropneumoperitônio , Metabolismo
15.
Rev. gastroenterol. Perú ; 32(1): 94-97, ene.-mar. 2012. ilus
Artigo em Espanhol | LILACS, LIPECS | ID: lil-646598

RESUMO

La colangiografía retrógrada endoscópica (CPRE) se ha convertido en un procedimiento esencial en el diagnóstico y tratamiento de las enfermedades biliopancreáticas. Las complicaciones de este procedimiento son infrecuentes, pero potencialmente graves, siendo necesario saber reconocerlas para la aplicación del tratamiento adecuado. Presentamos el caso clínico de una mujer de 79 años que desarrolló un enfisema subcutáneo, neumotórax bilateral, retroneumomediastino, retroneumoperitoneo y neumoperitoneo debido a una lesión iatrogénica del duodeno secundaria a una colangiografía retrógrada endoscópica. El diagnóstico precoz de las lesiones iatrogénicas tras la realización de una CPRE determinará el correcto tratamiento de esta complicación, que debe comprender variaciones en la clínica y fisiología del paciente.


Endoscopic retrograde cholangiopancreatography (ERCP) has become an essential procedure in the diagnosis and treatment of biliopancreatic diseases. Complications of this procedure are potentially serious, being necessary to know how to recognize them for the application of the appropriate treatment. We report the case of a 79-year-old woman who developed a massive subcutaneous emphysema, bilateral pneumothorax, retropneumomediastinum, retropneumoperitoneum and pneumoperitoneum due to iatrogenic duodenal injury secondary to ERCP. The clinical suspicion for early diagnosis of iatrogenic injury after ERCP will determine the correct treatment of this complication and will achieve better outcomes.


Assuntos
Humanos , Feminino , Idoso , Enfisema Mediastínico , Enfisema Subcutâneo , Pneumoperitônio , Pneumotórax , Colangiopancreatografia Retrógrada Endoscópica , Retropneumoperitônio
16.
Korean Journal of Anesthesiology ; : 488-492, 2012.
Artigo em Inglês | WPRIM | ID: wpr-149821

RESUMO

We report a rare case of a 72-year-old female who developed extensive subcutaneous emphysema, bilateral pneumothoraces, pneumomediastinum, pneumoperitoneum, and pneumoretroperitoneum after a percutaneous dilatational tracheostomy. The patient's T-cannula was accidentally connected to the oxygen line with a non-perforated connector. The patient rapidly developed respiratory insufficiency and subcutaneous emphysema in the neck and both shoulders. The bilateral pneumothoraces were managed using a chest tube. CT scans of the chest, abdomen, and pelvis revealed an extensive distribution of air throughout the chest and abdomen. The patient was treated successfully with supportive care. This case illustrates the rare occurrence of air passing into multiple body compartments, highlighting the potentially serious complications of a tracheostomy and the importance of intensive care during the recovery period.


Assuntos
Idoso , Feminino , Humanos , Abdome , Tubos Torácicos , Cuidados Críticos , Enfisema Mediastínico , Pescoço , Oxigênio , Pelve , Pneumoperitônio , Pneumotórax , Insuficiência Respiratória , Retropneumoperitônio , Ombro , Enfisema Subcutâneo , Tórax , Traqueostomia
17.
Korean Journal of Gastrointestinal Endoscopy ; : 38-42, 2011.
Artigo em Coreano | WPRIM | ID: wpr-38831

RESUMO

A colonoscopic perforation is rare but can cause a fatal outcome. A perforation can be intraperitoneal or retroperitoneal. Air in the retroperitoneal space by perforation can spread to the mediastinum, pleura, and subcutaneous tissue through the visceral space. Therefore, a colonoscopic perforation may manifest as a pneumomediastinum, a pneumothorax, or subcutaneous emphysema without a peritoneal irritation sign. Although a colonoscopic perforation is treated mainly with an operation, medical treatment may be possible in selected cases, especially for a perforation to the retroperitoneal area or that under peritoneal reflexion. Clipping of a perforation is effective for medical treatment. We experienced a case of pneumothorax, pneumomediastinum, subcutaneous emphysema and pneumoretroperitoneum without peritoneal irritation following a diagnostic colonoscopy, which was diagnosed after 3 days because of atypical symptoms but was successfully managed with medical treatment and clipping.


Assuntos
Colonoscopia , Evolução Fatal , Enfisema Mediastínico , Mediastino , Pleura , Pneumotórax , Espaço Retroperitoneal , Retropneumoperitônio , Enfisema Subcutâneo , Tela Subcutânea
18.
Korean Journal of Gastrointestinal Endoscopy ; : 348-351, 2009.
Artigo em Coreano | WPRIM | ID: wpr-206461

RESUMO

The use of colonoscopy is important to prevent colon cancer. Despite the safety of the colonoscopy procedure, the most common complication of a colonoscopy is perforation, which occurs with a rate of approximately 0.3% during diagnostic colonoscopy and occurs with a rate of approximately 1.1% with the use of therapeutic colonoscopy. Surgery is the treatment of choice for most cases of colonic perforation. With the development of endoscopic devices and techniques, conservative treatment of colonic perforation has been reported by the use of endoscopic clipping. We report here a patient with iatrogenic perforation of the sigmoid colon that was caused by diagnostic colonoscopy. The perforation presented as pneumoretroperitoneum, which was successfully treated with endoscopic clipping.


Assuntos
Humanos , Colo , Colo Sigmoide , Neoplasias do Colo , Colonoscopia , Perfuração Intestinal , Retropneumoperitônio
19.
Korean Journal of Medicine ; : 338-342, 2009.
Artigo em Coreano | WPRIM | ID: wpr-110947

RESUMO

Since anorexia nervosa is a multi-systemic disorder, as well as a psychiatric disorder, it needs a multidisciplinary approach. It causes many medical problems, including irregular menstruation, hematologic problems, decreased bone density, electrolyte imbalance, and dysrhythmias. Sometimes, this disorder also causes rare, unexpected complications, including abnormal air collections, such as pneumomediastinum, retropneumoperitoneum, or subcutaneous emphysema. The cause of these phenomena is unknown, although fragile parenchymal tissue that is disrupted easily when the local pressure is increased by coughing, vomiting, or defecation is a suggested cause. We experienced a case of anorexia nervosa complicated with abnormal air collections. After we excluded other possible causes, such as perforation of the gastrointestinal tract, and ordered the patient to undergo a short fast and inhale oxygen, the abnormal air collections resolved. We report this case because of its rarity and benign course.


Assuntos
Feminino , Humanos , Anorexia , Anorexia Nervosa , Densidade Óssea , Tosse , Defecação , Trato Gastrointestinal , Enfisema Mediastínico , Menstruação , Oxigênio , Retropneumoperitônio , Enfisema Subcutâneo , Vômito
20.
Korean Journal of Anesthesiology ; : 597-600, 2009.
Artigo em Inglês | WPRIM | ID: wpr-100661

RESUMO

Transurethral resection of the prostate (TURP) is a common procedure for managing benign prostatic hyperplasia (BPH), and this procedure is associated with low complication rates. Bladder perforation is an unusual complication of TURP, and it may create an air leak into the retroperitoneal space. Here we describe a case of pneumomediastinum, pneumoretroperitoneum and subcutaneous emphysema that were all due to a bladder perforation that occurred during performing TURP in a 74-year-old male patient with BPH.


Assuntos
Idoso , Humanos , Masculino , Enfisema Mediastínico , Próstata , Hiperplasia Prostática , Espaço Retroperitoneal , Retropneumoperitônio , Enfisema Subcutâneo , Ressecção Transuretral da Próstata , Bexiga Urinária
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