TY - JOUR T1 - Diverticular perforation: an unusual cause of subcutaneous emphysema JF - Emergency Medicine Journal JO - Emerg Med J SP - 259 LP - 260 DO - 10.1136/emermed-2013-202662 VL - 31 IS - 3 AU - Thomas Wiles AU - Rebecca Mullett AU - Michael Chadwick Y1 - 2014/03/01 UR - http://emj.bmj.com/content/31/3/259.abstract N2 - An 81-year-old woman with stage 4 chronic kidney disease (focal segmental glomerulosclerosis) requiring steroids and immunosuppression with mycophenolate mofetil presented with left iliac fossa (LIF) pain, anorexia and rectal bleeding with mucus. Examination and investigations revealed no pyrexia, LIF tenderness, supraclavicular subcutaneous emphysema or leucocytopenia. An erect chest x-ray (figure 1) ruled out pneumoperitoneum but demonstrated extensive supraclavicular subcutaneous emphysema and pneumomediastinum. No pneumothorax was present. Figure 1 Erect … ER -