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A 44-year-old male asked:

Can air within soft tissue of pelvis extendn round right lateral pelvic wall out throught both obturator foramin come from a perforated bowel rectum ?

1 doctor answer1 doctor weighed in
Dr. John Fung
General Surgery 40 years experience
Yes and other causes: As any gas in the soft tissues is abnormal, this should represent infection unless there is another explanation (very unusual). Causes in this area would include: diverticulitis, appendicitis, rectal perforation from trauma, inflammation or cancer, urologic infections, or generalized soft tissue infections of the perineum (Fournier's gangrene) in susceptible individuals. See MD immediately
Last updated Jul 2, 2015

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