MEDIASTINAL EMPHYSEMA FOLLOWING ANTERIOR PERFORATION OF A GASTRIC ULCER
Authors: Dalton M. Welty
Journal: Annals of Internal Medicine (1949)

Case Reports1 January 1949MEDIASTINAL EMPHYSEMA FOLLOWING ANTERIOR PERFORATION OF A GASTRIC ULCERDALTON M. WELTYDALTON M. WELTYSearch for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-30-1-205 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptDuring the past 20 years mediastinal emphysema has been recognized with increasing frequency and a large number of papers are now available in the medical literature bearing on its pathologic physiology and clinical manifestations.1, 2, 3, 4, 5 McGuire and Bean6 have credited Laennec with the original description of the peculiar bubbling, crackling and popping sounds now considered so characteristic. Müller,7 in 1888, described bubbling crepitations synchronous with the heart beat as indicative of pneumomediastinum.Mediastinal emphysema is most often a complication of another disease or condition. Air can reach the mediastinum from perforation of the esophagus, trachea or bronchus....Bibliography1. GRIFFIN RJ: A diagnostic sign of interstitial emphysema of the mediastinum, Ann. Int. Med., 1942, xvii, 295-297. Spontaneous pneumothorax, Kentucky Med. Jr., 1941, xxxix, 284-288. Google Scholar2. GREENE JA: Unusual sounds emanating from the chest, Arch. Int. Med., 1943, lxxi, 410-414. CrossrefGoogle Scholar3. MILLER H: Spontaneous mediastinal emphysema, Ann. Int. Med., 1944, xxi, 998-1010. Spontaneous mediastinal emphysema simulating organic heart disease, Am. Jr. Med. Sci., 1945, ccix, 211-220. Google Scholar4. IGLAUER S: Spontaneous mediastinal emphysema; case, Ann. Otol., Rhin. and Laryng., 1944, liii, 823-828. Google Scholar5. LINTZ RM: Spontaneous mediastinal emphysema, Ann. Int. Med., 1943, lxxi, 256-261. CrossrefGoogle Scholar6. MCGUIREBEAN JWB: Spontaneous interstitial emphysema of the lungs, Am. Jr. Med. Sci., 1939, cxcvii, 502-509. CrossrefGoogle Scholar7. MüLLER F: Über Emphysem des Mediastinum, Berl. klin. Wchnschr., 1888, xxv, 205-208. Google Scholar8. MACKLIN CC: Transport of air along sheaths of pulmonic vessels from alveoli to mediastinum: Clinical implication, Arch. Int. Med., 1939, lxiv, 913-926. Impediment to circulation occasioned by pulmonic interstitial emphysema and pneumo-mediastinum, Jr. Mich. Med. Soc., 1940, xxxix, 756-759. CrossrefGoogle Scholar9. MACKLINMACKLIN MTCC: Malignant emphysema of lungs and mediastinum as important occult complication in many respiratory diseases and other conditions; interpretation in light of laboratory experiment, Medicine, 1944, xxiii, 281-358. Pulmonic interstitial emphysema and its sequelae; anatomic interpretation, Essay in Biol., 1943, 331-368. CrossrefGoogle Scholar10. HAMMAN L: Spontaneous interstitial emphysema of the lungs, Trans. Assoc. Am. Phys., 1937, lii, 311-319. Google Scholar11. HAMMAN L: Spontaneous mediastinal emphysema, Bull. Johns Hopkins Hosp., 1939, lxiv, 1-21. Google Scholar12. HAMMAN L: Mediastinal emphysema, Jr. Am. Med. Assoc., 1945, cxxviii, 1-6. Google Scholar13. ADCOCK JD: Spontaneous interstitial emphysema of the lung with mediastinal, retroperitoneal and subcutaneous emphysema, Arch. Int. Med., 1943, 650-657. CrossrefGoogle Scholar14. KORACH S: Zur Frage des Hautemphysems nach Perforation Gastroduodenaler Geschwüre, Zentralbl. f. Chir., 1927, liv, 1489. Google Scholar15. HURSTSTEWART AFMJ: Gastric and duodenal ulcer, London, 1929, Oxford University Press, p. 321. Google Scholar16. PODLAHA J: Zur Frage des subkutanen Emphysems bei perforatierten gastroduodenalen Geschwüren, Zentralbl. f. Chir., 1926, 2839. Google Scholar17. BANYAIJURGENS ALGH: Mediastinal emphysema as a complication of artificial pneumoperitoneum, Jr. Thorac. Surg., 1939, viii, 329-333. CrossrefGoogle Scholar18. MCCORKLESTEVENSON HJ: Subcutaneous emphysema associated with perforated gastric ulcer, Surgery, 1937, ii, 930-936. Google Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: *Received for publication May 21, 1946.From the Medical Service of the United States Veterans Hospital, Hot Springs, South Dakota. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited byA Case of Perforated Duodenal Ulcer Presenting with Emphysema of the Neck and MediastinumSpontaneous rupture of the oesophagus with unusual features.MEDICAL MEDIASTINAL EMPHYSEMA*GERALD P. BODEY, M.D.PAGET'S DISEASE OF THE NIPPLE OCCURRING IN A YOUNG WOMAN WITH REVIEW OF THE LITERATURESPONTANEOUS PERFORATION OF THE OESOPHAGUSSpontaneous irruption of air from the lungSpontaneous Rupture of the EsophagusACUTE MEDIASTINAL AND SUBCUTANEOUS EMPHYSEMA 1 January 1949Volume 30, Issue 1Page: 205-209KeywordsEmphysemaEsophagusGastric ulcersHeartMedical servicesTrachea Issue Published: 1 January 1949 PDF downloadLoading ...