Abstract

SAMANIEGO, Castor et al. PNEUMORETROPERITONEUM AND RETROPERITONEAL CELLULITIS: UNUSUAL COMPLICATIONS OF COLONIC DIVERTICULAR DISEASE. Rev. Cir. Parag. [online]. 2016, vol.40, n.2, pp.31-33. ISSN 2307-0420.  https://doi.org/10.18004/sopaci.noviembre.31-33.

We report two cases of retropneumoperitoneum with pneumomediastinum, as a result of diverticular perforations in the retroperitoneal space, in patients with acute diverticulitis and septicemia. In both cases the patients underwent partial colectomy (Hartmann procedure) with good evolution, and no sign of peritoneal contamination was found. Currently both patients have undergone colorectal transit restoration. We discuss problems with the diagnosis and possible mechanism of the air and bacterial germ passage to the mediastinum.

Keywords : retropneumoperitoneum; diverticulitis.

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