Año 2025 / Volumen 117 / Número 12
Carta
Ulcerative colitis complicating pneumomediastinum, subcutaneous emphysema and pneumothorax

785-786

DOI: 10.17235/reed.2024.10795/2024

Maki Setake, Ryosaku Tomiyama, Tomoya Kuda, Kanetaka Maeshiro, Akira Hokama,

Resumen
A 17-year-old man with ulcerative colitis (UC) presented to our hospital with neck pain and fever after vomiting. On examination, a snowflake sensation was noted in the neck. A chest radiograph showed extensive subcutaneous emphysema in the chest. CT scans showed extensive subcutaneous emphysema in the neck, shoulders and axilla, as well as pneumomediastinum and pneumothorax. A diagnosis of pneumomediastinum with exacerbation of UC was made, and he was fasted and treated with antibiotics. Intensive granulocyte and monocyte adsorption apheresis (GMA) was started for exacerbation of UC. His symptoms and the radiological findings of pneumomediastinum improved. He remained in remission on azathioprine. UC is a chronic inflammatory bowel disease (IBD) associated with extraintestinal manifestations (EIM). Very few cases have been complicated by pneumomediastinum. The increase in alveolar pressure due to vomiting and systemic inflammation-related pleural or esophageal damage may cause pneumomediastinum in this case. Prevention of progression to mediastinitis and treatment of exacerbated UC are contradictory. GMA was successful because it was not an immunosuppressive therapy. Our case highlights that rare EIM may complicate exacerbation of UC.
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Bibliografía
1. Annaházi A, Polyák I, Nagy F, et al. "Ulcerative crepitus" - a case with subcutaneous emphysema and pneumomediastinum without colonic perforation or toxic megacolon in ulcerative colitis successfully treated conservatively. J Crohns Colitis 2012;6:717-9. doi: 10.1016/j.crohns.2012.01.022.
2. Mihatov N, Fenves AZ. Pneumomediastinum in inflammatory bowel disease. Proc (Bayl Univ Med Cent) 2015;28:347-9. doi: 10.1080/08998280.2015.11929270.
3. Ji XQ, Wang LX, Lu DG. Pulmonary manifestations of inflammatory bowel disease. World J Gastroenterol 2014;20:13501-11. doi: 10.3748/wjg.v20.i37.13501.
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Instrucciones para citar
Setake M, Tomiyama R, Kuda T, Maeshiro K, Hokama A. Ulcerative colitis complicating pneumomediastinum, subcutaneous emphysema and pneumothorax. 10795/2024


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Ficha Técnica

Recibido: 14/09/2024

Aceptado: 17/09/2024

Prepublicado: 04/10/2024

Publicado: 12/12/2025

Tiempo de prepublicación: 20 días

Tiempo de edición del artículo: 454 días


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