Mediastinal Emphysema Occurring With Therapeutic Pneumoperitoneum: Report of Ten Cases

Article1 September 1951MEDIASTINAL EMPHYSEMA OCCURRING WITH THERAPEUTIC PNEUMOPERITONEUM: REPORT OF TEN CASESMILTON N. TOWBIN, M.D.MILTON N. TOWBIN, M.D.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-35-3-555 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptI. REVIEW OF THE LITERATUREFor over a hundred years physicians have recognized that mediastinal emphysema may occur following severe straining, pulmonary disease or trauma of the chest. Laennec1in 1819 briefly referred to this complication in his first treatise on diseases of the chest, and in 1826 accurately described it under the heading "Emphyséme Interlobulaire du Poumon."2These observations were later confirmed by Skoda,3and in 1856 Rokitansky4explained the pathologic anatomy of this condition resulting from ulceration of the trachea or pulmonary trauma. Müller5in 1888 discussed its diagnostic features and also postulated a mechanism of production similar...Bibliography1. Laennec RT: De l'auscultation médiate ou traité du diagnostic des maladies des poumons et du coeur, Vol. 1, 1819, J. A. Brosson et J. S. Chaudé, Paris, p. 213. Google Scholar2. Laennec RT: Traité de l'auscultation médiate et des maladies des poumons et du coeur, Seconde Edition Entierement Refondue, Vol. 1, 1826, J. S. Chaudé, Paris, p. 338. Google Scholar3. Skoda J: Abhandlung über Perkussion und Auskultation, 1839, Braumüller, Wien, p. 230. Google Scholar4. Rokitansky C: Lehrbuch der pathologischen Anatomie, 3rd Ed., 1856, Wilhelm Braumüller, Wein 2: 12. Google Scholar5. Müller F: Ueber Emphysem des Mediastinum, Berl. klin. Wchnschr. 25: 205, 1888. Google Scholar6. Boehme GF: A case of true mediastinal emphysema, M. Rec. 95: 1052, 1919. Google Scholar7. Caldwell HW: Spontaneous mediastinal emphysema, J. A. M. A. 116: 301, 1941. CrossrefGoogle Scholar8. 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