{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,19]],"date-time":"2025-10-19T18:25:43Z","timestamp":1760898343564,"version":"3.41.0"},"reference-count":11,"publisher":"International College of Surgeons","issue":"6","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2015,6]]},"abstract":"<jats:p>Left colon perforation usually occurs in complicated diverticulitis or cancer. The most frequent signs are intraperitoneal abscess or peritonitis. In cases of retroperitoneal colonic perforation, diagnosis may be difficult. A 59-year-old woman presented with left thigh pain and with abdominal discomfort associated with mild dyspnea. Computed tomography scan showed air bubbles and purulent collection in the retroperitoneum, with subcutaneous emphysema extending from the left thigh to the neck. Computed tomography scan also revealed portal vein gas and thrombosis with multiple liver abscesses. An emergency laparotomy revealed a perforation of the proximal left colon. No masses were found. A left colectomy was performed. The retroperitoneum was drained and washed extensively. A negative pressure wound therapy was applied. A second-look laparotomy was performed 48 hours later. The retroperitoneum was drained and an end colostomy was performed. Intensive Care Unit postoperative stay was 9 days, and the patient was discharged on the 32nd postoperative day. Pneumoretroperitoneum and pneumomediastinum are rare signs of colonic retroperitoneal perforation. The diagnosis may be delayed, especially in the absence of peritoneal irritation. Clinical, laboratory, and especially radiologic parameters might be useful. Surgical treatment must be prompt to improve prognosis.<\/jats:p>","DOI":"10.9738\/intsurg-d-14-00201.1","type":"journal-article","created":{"date-parts":[[2015,9,28]],"date-time":"2015-09-28T22:59:28Z","timestamp":1443481168000},"page":"984-988","source":"Crossref","is-referenced-by-count":8,"title":["Pneumoretroperitoneum and Pneumomediastinum Revealing a Left Colon Perforation"],"prefix":"10.9738","volume":"100","author":[{"given":"Giulia","family":"Montori","sequence":"first","affiliation":[{"name":"Department of General and Emergency Surgery, Centre Hospitalier Universitaire Bocage, Dijon, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Giacomo","family":"Di Giovanni","sequence":"additional","affiliation":[{"name":"Department of General and Emergency Surgery, Centre Hospitalier Universitaire Bocage, Dijon, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zeineb","family":"Mzoughi","sequence":"additional","affiliation":[{"name":"Department of General and Emergency Surgery, Centre Hospitalier Universitaire Bocage, Dijon, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cedric","family":"Angot","sequence":"additional","affiliation":[{"name":"Department of General and Emergency Surgery, Centre Hospitalier Universitaire Bocage, Dijon, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sophie","family":"Al Samman","sequence":"additional","affiliation":[{"name":"Department of General and Emergency Surgery, Centre Hospitalier Universitaire Bocage, Dijon, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Leonardo","family":"Solaini","sequence":"additional","affiliation":[{"name":"Surgical Clinic, Department of Clinical and Surgical Sciences, University of Brescia, Brescia, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nicolas","family":"Cheynel","sequence":"additional","affiliation":[{"name":"Department of General and Emergency Surgery, Centre Hospitalier Universitaire Bocage, Dijon, France"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"4721","reference":[{"issue":"suppl 1","key":"i0020-8868-100-6-984-b01","series-title":"J Korean Surg Soc","first-page":"S17","article-title":"Pneumomediastinum caused by colonic diverticulitis perforation","volume":"80","author":"Choi\n              PW.","year":"2011","unstructured":"Choi\n              PW.\n            \n          \n          Pneumomediastinum caused by colonic diverticulitis perforation. J Korean Surg Soc2011;80(suppl 1):S17\u2013S20"},{"issue":"1","key":"i0020-8868-100-6-984-b02","series-title":"Ulus Travma Acil Cerrahi Derg","first-page":"93","article-title":"Pneumomediastinum and subcutaneous emphysema caused by sigmoid diverticulum perforation secondary to blunt abdominal trauma: report of a case","volume":"17","author":"Ya\u015far\n              NF,","year":"2011","unstructured":"Ya\u015far\n              NF, \n            \n              Kebap\u00e7\u0131\n              M, \n            \n              Ihtiyar\n              E.\n            \n          \n          Pneumomediastinum and subcutaneous emphysema caused by sigmoid diverticulum perforation secondary to blunt abdominal trauma: report of a case. Ulus Travma Acil Cerrahi Derg2011;17(1):93\u201395"},{"issue":"3","key":"i0020-8868-100-6-984-b03","series-title":"Am J Surg","first-page":"256","article-title":"Mart\u00ed Ragu\u00e9 J, De Oca J, Toral D, Borobia FG et al. 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