Pneumomediastinum and Subcutaneous Emphysema Secondary to Perforated Duodenal Ulcer: A Case Report and Literature Review

十二指腸潰瘍穿孔合併次發性縱膈氣腫及皮下氣腫：案例報告及文獻回顧

李和昇(Ho-Sheng Lee) ； 郭炳宏(Ping-Hung Kuo)

《胸腔醫學》 25卷6期 (2010/12) Pp. 294-298

https://doi.org/10.29806/TM.201012.0002

摘要

縱膈氣腫及皮下氣腫有時是由肺部以外的氣體破出所造成。在此我們報告一位63歲男性，因嚴重腹痛及呼吸困難而來到本院急診，胸部X光呈現皮下氣腫、縱膈氣腫，但並無氣胸。腹部探查手術發現了一個小腸前壁的消化性潰瘍穿孔，並予以修補。皮下氣腫和縱膈氣腫在術後即迅速進步。我們並回顧了與此少見的消化性潰瘍穿孔併發症有關的文獻。

關鍵字

縱膈氣腫 ； 皮下氣腫 ； 消化性潰瘍穿孔 ； 十二指腸潰瘍

並列摘要

Subcutaneous emphysema and pneumomediastinum may be caused by air leakage from an extra-pulmonary source. In this report, we described the case of a 63-year-old man who presented to our emergency department with severe abdominal pain and dyspnea. The chest radiograph showed subcutaneous emphysema, pneumomediastinum, and pneumoperitoneum, but no pneumothorax. An exploratory laparotomy revealed a perforated peptic ulcer at the anterior wall of the duodenum. The subcutaneous emphysema and pneumomediastinum resolved rapidly after the perforation was closed. We also reviewed the literature on this rare complication of peptic ulcer.

並列關鍵字

pneumomediastinum ； subcutaneous emphysema ； perforated peptic ulcer ； duodenal ulcer