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Occurrence During a Radiological Study

H. Charles Walker, Jr, MD; Santhat Nivatvongs, MD; Howard J. Ansel, MD; Eugene Gedgaudas, MD

JAMA. 1982;248(11):1375-1376.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

History

A 71-year-old woman was referred to the radiology department for a study to be described later. During the study a large amount of gas was noted in the retroperitoneum, under the diaphragm, in the mediastinum, and in the subcutaneous tissues of the neck in chest x-ray films in the posteroanterior and lateral positions (Fig 1, left and right). Gas outlined most of the liver, the entire spleen, the psoas muscles, the right kidney, and the adrenal gland and extended laterally to the flank stripe. Mediastinal and cervical air outlined the descending thoracic aorta and border of the right side of the heart. In the lateral view the air was noted in the posterior pararenal space extending anteriorly over the liver extraperitoneally and outlining the anterior attachment of the diaphragm to the xyphoid (Fig 1, right, arrow). On the second day after the study, subcutaneous emphysema involved the face, base . . . [Full Text PDF of this Article]

Author Affiliations
From the Departments of Radiology (Drs Walker and Gedgaudas) and Surgery, Division of Colorectal Surgery (Dr Nivatvongs), University of Minnesota Hospitals, Minneapolis, and the Department of Radiology (Dr Ansel), Veterans Administration Medical Center, Minneapolis.

Footnotes
Reprint requests to Department of Radiology, University of Minnesota Hospitals, 420 Delaware St SE, Minneapolis, MN 55455 (Dr Walker).

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