Massive surgical emphysema after perineal proctosigmoidectomy

Massive perineal defect after radio‐chemotherapy

Herein, we present a rare complication of radio-chemotherapy. A young man presented with loss of urine from the posterior perineum that showed a massive disappearance. He underwent Hartmann procedure for rectal neoplasia, afterwards treated with intensity-modulated radiotherapy (IMRT) (until 67 Gy) and chemotherapy with FOLFOX protocol (Leucoverin calcium, Fluorouracil, Oxaliplatin).

Massive subcutaneous emphysema and hypercarbia

W hile the laparoscopic approach to surgery is not new, its application has expanded tremendously within the past decade. Initially used as early as 1937 for gynecological procedures, it now is also a preferred method of approach in many general, urologic, and thoracic procedures. Examples of these procedures include tubal ligation, chromopertubation study, cholecystectomy, esophageal fundoplic...

Iatrogenic pneumomediastinum and facial emphysema after surgical tooth extraction.

Delayed surgical emphysema, pneumomediastinum and bilateral pneumothoraces after postoperative vomiting.

We describe a case of surgical emphysema, pneumomediastinum and bilateral pneumothoraces which occurred some hours after general anaesthesia for a repeat laparoscopy and followed persistent nausea and vomiting. We report the case because of the unexpected and delayed appearance, which led to delay in diagnosis and management. We suggest that this intrathoracic air leak was a consequence of post...

Surgical treatment of emphysema.

Patients breathless from chronic lung disease present a serious problem in morbidity and mortality in Britain, the U.S.A., and other countries with a temperate climate (Fletcher and Tinker, 1961 ; Bower, 1961). For their successful treatment it is essential to determine how much obstruction there is to the air-flow from their lungs and to try to find the cause of this obstruction, whether it be...