prikaz prve stranice dokumenta Perforacija sigmoidnog divertikulitisa: neuobičajen uzrok subkutanog emfizema vrata, pneumomedijastinuma, pneumotoraksa, pneumoretroperitoneuma i pneumoperitoneuma
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Scientific paper - Case study
Perforacija sigmoidnog divertikulitisa: neuobičajen uzrok subkutanog emfizema vrata, pneumomedijastinuma, pneumotoraksa, pneumoretroperitoneuma i pneumoperitoneuma
Medicina Fluminensis : Medicina Fluminensis, 52 (2016), 2; 249-252. urn:nbn:hr:184:384039
Pušić, Marin; Kovačić, Slavica; Knežević, Siniša; Zelić, Marko; Miletić, Damir

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Pušić, M., Kovačić, S., Knežević, S., Zelić, M. & Miletić, D. (2016). Perforacija sigmoidnog divertikulitisa: neuobičajen uzrok subkutanog emfizema vrata, pneumomedijastinuma, pneumotoraksa, pneumoretroperitoneuma i pneumoperitoneuma. Medicina Fluminensis : Medicina Fluminensis, 52. (2), 249-252. Retrieved from https://urn.nsk.hr/urn:nbn:hr:184:384039

Pušić, Marin, et al. "Perforacija sigmoidnog divertikulitisa: neuobičajen uzrok subkutanog emfizema vrata, pneumomedijastinuma, pneumotoraksa, pneumoretroperitoneuma i pneumoperitoneuma." Medicina Fluminensis : Medicina Fluminensis, vol. 52, no. 2, 2016, pp. 249-252. https://urn.nsk.hr/urn:nbn:hr:184:384039

Pušić, Marin, Slavica Kovačić, Siniša Knežević, Marko Zelić and Damir Miletić. "Perforacija sigmoidnog divertikulitisa: neuobičajen uzrok subkutanog emfizema vrata, pneumomedijastinuma, pneumotoraksa, pneumoretroperitoneuma i pneumoperitoneuma." Medicina Fluminensis : Medicina Fluminensis 52, no. 2 (2016): 249-252. https://urn.nsk.hr/urn:nbn:hr:184:384039

Pušić, M., et al. (2016) 'Perforacija sigmoidnog divertikulitisa: neuobičajen uzrok subkutanog emfizema vrata, pneumomedijastinuma, pneumotoraksa, pneumoretroperitoneuma i pneumoperitoneuma', Medicina Fluminensis : Medicina Fluminensis, 52(2), pp. 249-252. Available at: https://urn.nsk.hr/urn:nbn:hr:184:384039 (Accessed 06 December 2024)

Pušić M, Kovačić S, Knežević S, Zelić M, Miletić D. Perforacija sigmoidnog divertikulitisa: neuobičajen uzrok subkutanog emfizema vrata, pneumomedijastinuma, pneumotoraksa, pneumoretroperitoneuma i pneumoperitoneuma. Medicina Fluminensis : Medicina Fluminensis [Internet]. 2016 June 01 [cited 2024 December 06];52(2):249-252. Available at: https://urn.nsk.hr/urn:nbn:hr:184:384039

M. Pušić, S. Kovačić, S. Knežević, M. Zelić and D. Miletić, "Perforacija sigmoidnog divertikulitisa: neuobičajen uzrok subkutanog emfizema vrata, pneumomedijastinuma, pneumotoraksa, pneumoretroperitoneuma i pneumoperitoneuma", Medicina Fluminensis : Medicina Fluminensis, vol. 52, no. 2, pp. 249-252, June 2016. [Online]. Available at: https://urn.nsk.hr/urn:nbn:hr:184:384039. [Accessed: 06 December 2024]

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Title (croatian)Perforacija sigmoidnog divertikulitisa: neuobičajen uzrok subkutanog emfizema vrata, pneumomedijastinuma, pneumotoraksa, pneumoretroperitoneuma i pneumoperitoneuma
Title (english)Perforation of sigmoid diverticulitis: Unusual cause of subcutaneous emphysema, pneumomediastinum, pneumothorax, pneumoretroperitoneum and pneumoperitoneum
AuthorMarin Pušić
AuthorSlavica Kovačić
AuthorSiniša Knežević
AuthorMarko Zelić
AuthorDamir Miletić
Author's institutionUniversity of Rijeka
Faculty of Medicine
(Department of Radiology)
Scientific / art field,
discipline and subdiscipline		BIOMEDICINE AND HEALTHCARE
Clinical Medical Sciences
Surgery
Abstract (croatian)
Cilj: Cilj ovog rada je prikazati vrlo rijedak slučaj perforacije sigmoidnog divertikulitisa koji se klinički prezentirao bolnošću u donjem lijevom kvadrantu abdomena, subfebrilitetom i subkutanim emfizemom vrata. Prikaz slučaja: Tridesetšestogodišnja pacijentica primljena je na Kliniku za neurokirurgiju radi elektivnog operativnog zahvata poradi dugotrajne ljevostrane križobolje. Rani poslijeoperativni tijek kompliciran je postupnim razvojem bolnosti u donjem lijevom kvadrantu abdomena, subfebrilitetom, porastom upalnih parametara i subkutanim emfizemom vrata. Učinjena je opsežna radiološka obrada (klasični radiogrami mekih tkiva vrata, grudnih organa i abdomena, CT vrata, toraksa, abdomena i zdjelice te MR abdomena i zdjelice) kojom se utvrde opsežne nakupine plina u supkutisu vrata, u medijastinumu, retroperitoneumu, pleuralnom i peritonealnom prostoru te divertikuloza sigmoidnog kolona sa zamućenjem masnog tkiva uz sigmoidni kolon. Temeljem slikovne dijagnostike postavljena je sumnja na perforaciju sigmoidnog divertikulitsa. Dijagnoza je potvrđena kod laparotomije i patohistološkom analizom. Poslijeperacijski oporavak po laparotomiji protekao je bez komplikacija. Zaključak: Perforacija sigmoidnog divertikulitisa neuobičajen je uzrok subkutanog emfizema vrata, pneumomedijastinuma, pneumotoraksa, pneumoretroperitoneuma i pneumoperitoneuma o kojem treba misliti u diferencijalnoj dijagnozi s obzirom na mogućnost razvoja brojnih komplikacija i smrtnog ishoda kod prekasno prepoznate bolesti i odgođene laparotomije.
Abstract (english)
Aim: The aim of this paper is to present a very rare case of sigmoid diverticulitis perforation with pain in the lower left abdomen, subfebrility and subcutaneous emphysema of the neck at presentation. Case report: Thirty six year old patient was admitted to the Department of neurosurgery for an elective operative procedure because of a longstanding left-sided lower back pain. Early postoperative course was complicated with gradually increasing pain in her lower left abdomen, subfebrility, increase in inflammatory markers and subcutaneous emphysema of the neck. Extensive imaging workup was performed (plain radiographs of the neck, thorax and abdomen, CT of the neck, thorax, abdomen and pelvis, MRI of the abdomen and pelvis) and large amount of free air in the soft tissues of the neck, in the mediastinum, pleural space, retroperitoneum and peritoneum was demonstrated. Diverticulosis of the sigmoid colon with stranding of the adjacent fat was also noted. These findings were suggestive of a perforated sigmoid diverticulitis which was confirmed by operative procedure and pathohistological report. Her postoperative course after laparotomy was unremarkable. Conclusion: Sigmoid diverticulitis perforation is a very unusal cause of subcutaneous emphysema of the neck, pneumomediastinum, pneumothorax, pneumoretroperitoneum and pneumoperitoneum that should be considered because many complications, including death, may occure if accurate diagnosis and laparotomy are delayed.
Keywords (croatian)
Keywords (english)
Languagecroatian
Publication typeScientific paper - Case study
Publication statusPublished
Peer reviewPeer review
Publication versionPublished version
Journal titleMedicina Fluminensis : Medicina Fluminensis
Numberingvol. 52, no. 2, pp. 249-252
p-ISSN0025-7729
URN:NBNurn:nbn:hr:184:384039
Publication2016-06-01
Document URLhttp://hrcak.srce.hr/158638
Type of resourceText
Access conditionsOpen access
Terms of useLicence In copyright icon
Created on2017-04-21 12:05:57