PDF(Pubmed)
Abstract：
Pneumomediastinum and subcutaneous emphysema usually result from alveolar rupture and rarely from colonic perforation. Although steroid use has been shown to increase the risk of complicated diverticulitis, there is limited data on the role Addison\'s disease may play in the development of colonic perforation. We present a rare case of a patient with Addison\'s disease who presented with hoarseness and was found to have massive subcutaneous emphysema, pneumomediastinum, and pneumoretroperitoneum secondary to complicated diverticulitis.
摘要：
纵隔气肿和皮下气肿通常由肺泡破裂引起，很少由结肠穿孔引起。虽然使用类固醇已被证明会增加复杂憩室炎的风险，关于艾迪生病在结肠穿孔发展中可能发挥的作用的数据有限。我们介绍了一例罕见的阿狄森氏病患者，表现为声音嘶哑，并发现有大量皮下气肿，纵隔肺炎，和继发于复杂性憩室炎的气腹。
