Download PDF
CC BY-NC-ND 4.0 · Journal of Digestive Endoscopy 2018; 09(01): 022-025
DOI: 10.4103/jde.JDE_50_15
Case Report

Air, Air Everywhere‑ A Rare Entity

Gazal Singla
1   Department of Radiodiagnosis and Imaging, IGMC, Shimla, Himachal Pradesh, India
,
Shikha Sood
1   Department of Radiodiagnosis and Imaging, IGMC, Shimla, Himachal Pradesh, India
,
Sanjeev Sharma
1   Department of Radiodiagnosis and Imaging, IGMC, Shimla, Himachal Pradesh, India
› Author Affiliations
› Further Information
   Permissions and Reprints

ABSTRACT

Upper gastrointestinal (GI) endoscopy is a widely used diagnostic and therapeutic procedure. Gastric perforation causing pneumothorax, pneumomediastinum, pneumoperitoneum, pneumorrhachis, and subcutaneous emphysema after upper GI endoscopy is an extremely rare complication. We present an interesting case of a 58‑year‑old male who presented to the Emergency Department with recurrent vomiting, abdominal pain and diffuse swelling over abdomen, chest, neck bilateral arms, and thighs after undergoing an endoscopy for a gastric mass.

Keywords

Pneumomediastinum - pneumoperitoneum - pneumorrhachis and subcutaneous emphysema - pneumothorax


Publication History

Publication Date:
19 September 2019 (online)

© 2018. Thieme. All rights reserved.

Thieme Medical and Scientific Publishers Private Ltd.
A-12, Second Floor, Sector -2, NOIDA -201301, India

 

  • REFERENCES

  • 1 Silvis SE, Nebel O, Rogers G, Sugawa C, Mandelstam P. Endoscopic complications. Results of the 1974 American Society for Gastrointestinal Endoscopy Survey. JAMA 1976; 235: 928-30
    CrossrefPubMedGoogle Scholar
  • 2 ASGE Standards of Practice Committee. Ben-Menachem T, Decker GA, Early DS, Evans J, Fanelli RD. et al. Adverse events of upper GI endoscopy. Gastrointest Endosc 2012; 76: 707-18
    CrossrefPubMedGoogle Scholar
  • 3 Kumar A, Muir MT, Cohn SM, Salhanick MA, Lankford DB, Katabathina VS. et al. The etiology of pneumoperitoneum in the 21st century. J Trauma Acute Care Surg 2012; 73: 542-8
    CrossrefPubMedGoogle Scholar
  • 4 Fujii L, Lau A, Fleischer DE, Harrison ME. Successful nonsurgical treatment of pneumomediastinum, pneumothorax, pneumoperitoneum, pneumoretroperitoneum, and subcutaneous emphysema following ERCP. Gastroenterol Res Pract 2010; 2010: 289135
    CrossrefPubMedGoogle Scholar
  • 5 Ferrara F, Luigiano C, Billi P, Jovine E, Cinquantini F, D'Imperio N. et al. Pneumothorax, pneumomediastinum, pneumoperitoneum, pneumoretroperitoneum, and subcutaneous emphysema after ERCP. Gastrointest Endosc 2009; 69: 1398-401
    CrossrefPubMedGoogle Scholar
  • 6 Falidas E, Anyfantakis G, Vlachos K, Goudeli C, Stavros B, Villias C. et al. Pneumoperitoneum, retropneumoperitoneum, pneumomediastinum, and diffuse subcutaneous emphysema following diagnostic colonoscopy. Case Rep Surg 2012; 2012: 108791
    PubMedGoogle Scholar
  • 7 Bonet H, Samdani A, Giannone J, Ogden S. Pneumothorax, Pneumomediastinum, Pneumoperitoneum and Sub-cutaneous Emphysema with Double Lumen Tube for Thoracoscopic Vetebral Body Stapling in a Pediatric Patient. Case Report: Shriners Hospital for Children, Philadelphia, Department of Anasthesiology, Philadelphia, United States 2002
    PubMedGoogle Scholar
  • 8 Frias Vilaça A, Reis AM, Vidal IM. The anatomical compartments and their connections as demonstrated by ectopic air. Insights Imaging 2013; 4: 759-72
    CrossrefPubMedGoogle Scholar
  • 9 Oertel MF, Korinth MC, Reinges MH, Krings T, Terbeck S, Gilsbach JM. et al. Pathogenesis, diagnosis and management of pneumorrhachis. Eur Spine J 2006; 15 Suppl 5 636-43
    CrossrefPubMedGoogle Scholar
  • 10 Roviello F, Rossi S, Marrelli D, De Manzoni G, Pedrazzani C, Morgagni P. et al. Perforated gastric carcinoma: A report of 10 cases and review of the literature. World J Surg Oncol 2006; 4: 19
    CrossrefPubMedGoogle Scholar