RT Journal Article SR Electronic T1 An unusual cause of subcutaneous emphysema, pneumomediastinum and pneumoperitoneum JF European Respiratory Journal JO Eur Respir J FD European Respiratory Society SP 969 OP 971 DO 10.1183/09031936.93.01100969 VO 1 IS 10 A1 WG Boersma A1 JP Teengs A1 PE Postmus A1 JC Aalders A1 HJ Sluiter YR 1988 UL http://erj.ersjournals.com/content/1/10/969.abstract AB A 62 year old female with subcutaneous emphysema, pneumomediastinum and pneumoperitoneum, was observed. Pneumothorax, however, was not present. Laparotomy revealed a large infiltrate in the left lower abdomen, which had penetrated the anterior abdominal wall. Microscopically, a recurrence of previously diagnosed vulval carcinoma was demonstrated. Despite intensive treatment the patient died two months later.