RESUMO
Pneumomediastinum indicates the presence of air in the mediastinal space. It may be classified in three categories, based on the main causes of air dissection into the mediastinal structures: spontaneous pneumomediastinum (pnm), the most frequently encountered, post traumatic pnm and pnm secondary to non-traumatic rupture of an abdominal hollow viscus. This paper reports the experience of a major regional emergency surgery division in the management of pnm during a five years period. Physiopathologic correlations are discussed together with diagnostic and therapeutic options.
Assuntos
Enfisema Mediastínico/cirurgia , Adulto , Idoso , Idoso de 80 Anos ou mais , Emergências , Feminino , Humanos , Masculino , Enfisema Mediastínico/diagnóstico por imagem , Enfisema Mediastínico/fisiopatologia , Pessoa de Meia-Idade , RadiografiaRESUMO
Gastro-intestinal tuberculosis (TB) continues to give rise to diagnostic and therapeutic challenges. Its increasing incidence and multiple and non-specificity of symptoms and signs require special attention to establish a prompt diagnosis and not to delay treatment. The authors describe on case of colonic TB presenting with multiple episodes of subocclusion suggesting a stenosing neoplasm of the caecum.