Subcutaneous emphysema, pneumothorax, pneumomediastinum and pneumoperitoneum after upper gastrointestinal endoscopy

BMJ Case Rep. 2020 Nov 3;13(11):e236369. doi: 10.1136/bcr-2020-236369.

Abstract

Upper gastrointestinal (GI) endoscopies are performed for several reasons. The overuse of endoscopy has negative effects on the quality of healthcare and pressurises endoscopy services. It also results in the complications. These complications include pneumoperitoneum, pneumomediastinum and subcutaneous pneumomediastinum. However, it is worth noting that these complications rarely occur during endoscopy of the upper GI tract. These complications, when they occur, indicate perforation of the retroperitoneal space or peritoneal cavity. In this article, we discuss a case of pneumoperitoneum, pneumomediastinum and subcutaneous emphysema after upper GI endoscopy.

Keywords: emergency medicine; endoscopy; pneumomediastinum; pneumothorax; ultrasonography.

Publication types

  • Case Reports
  • Video-Audio Media

MeSH terms

  • Adolescent
  • Endoscopy, Digestive System / adverse effects*
  • Humans
  • Male
  • Mediastinal Emphysema / diagnosis
  • Mediastinal Emphysema / etiology*
  • Pneumoperitoneum / diagnosis
  • Pneumoperitoneum / etiology*
  • Pneumothorax / diagnosis
  • Pneumothorax / etiology*
  • Subcutaneous Emphysema / diagnosis
  • Subcutaneous Emphysema / etiology*
  • Tomography, X-Ray Computed / methods