%0 Case Reports %T Hoarseness due to subcutaneous emphysema: a rare presentation of diverticular perforation. %A Bormann SL %A Wood R %A Guido JM %J J Surg Case Rep %V 2024 %N 3 %D 2024 Mar %M 38495049 暂无%R 10.1093/jscr/rjad566 %X 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.