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An unusual case of rectal perforation resulting in extensive surgical emphysema
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  1. Yi Jie Lee,
  2. Naren N Basu,
  3. Umesh Parampalli,
  4. David Birch
  1. Department of Colorectal Surgery, University Hospital Lewisham, London, UK
  1. Correspondence to Yi Jie Lee, yjlee{at}doctors.org.uk

https://doi.org/10.1136/bcr.09.2011.4822

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    Description

    A 62-year-old female presented with a 3-week history of non-specific abdominal pain. She had a history of rectal prolapse and was awaiting rectopexy. Clinical examination revealed gross anterior abdominal wall surgical emphysema (figures 1 and 2) as well as surgical emphysema of the pararectal region on digital rectal examination. There were no signs of peritonitis. A rigid sigmoidoscopy on …

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