Toxic megacolon in ulcerative colitis complicated by pneumomediastinum: Report of two cases

Glen R. Mogan, David B. Sachar, Joel Bauer, Barry Salky, Henry D. Janowitz

Research output: Contribution to journalArticlepeer-review

26 Scopus citations

Abstract

We describe two cases of universal ulcerative colitis in which toxic megacolon was complicated by the unusual occurrence of air tracking retroperitoneally through the diaphragm and the mediastinum, without signs of free intraperitoneal air, and ultimately presenting as subcutaneous emphysema in the neck. Physicians should remain alert to this unusual presentation of air leakage from the colon in toxic ulcerative colitis, in order to appreciate the potential gravity of the situation.

Original languageEnglish
Pages (from-to)559-562
Number of pages4
JournalGastroenterology
Volume79
Issue number3
DOIs
StatePublished - 1980
Externally publishedYes

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