Publication Name	World Journal of Clinical Cases
Manuscript ID	90036
Country	China

Received	2023-12-03 10:53
Peer-Review Started	2023-12-03 10:53
To Make the First Decision
Return for Revision	2023-12-12 00:26
Revised	2023-12-16 15:22
Second Decision	2024-01-08 03:09
Accepted by Journal Editor-in-Chief
Accepted by Company Editor-in-Chief	2024-01-08 05:39
Articles in Press	2024-01-08 05:39
Publication Fee Transferred
Edit the Manuscript by Language Editor	2024-01-04 02:44
Typeset the Manuscript	2024-01-17 13:44
Publish the Manuscript Online	2024-01-25 08:28

ISSN	2307-8960 (online)
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Category	Gastroenterology & Hepatology
Manuscript Type	Case Report
Article Title	Perforated gastric ulcer causing mediastinal emphysema: A case report
Manuscript Source	Unsolicited Manuscript
All Author List	Zhi-Cheng Dai, Xun-Wu Gui, Feng-He Yang, Hao-Yuan Zhang and Wen-Feng Zhang
ORCID	Author(s) ORCID Number Zhi-Cheng Dai http://orcid.org/0000-0001-5094-9861 Wen-Feng Zhang http://orcid.org/0009-0006-9298-2313
Funding Agency and Grant Number
Corresponding Author	Wen-Feng Zhang, MD, Chief Physician, Department of General Surgery, Mengcheng County First People's Hospital, No. 282 Shangcheng East Road, Mengcheng 233500, Anhui Province, China. zwf197801@163.com
Key Words	Gastric ulcer; Perforated; Mediastinal emphysema; Case report
Core Tip	Abdominal free gas from a perforated gastric ulcer may pass through the lax esophageal hiatus into the mediastinum and then travel up to the neck and chest wall. This condition should be differentiated from esophageal perforation, and upper gastrointestinal angiography can clarify the diagnosis. In such patients, the pneumoperitoneum for laparoscopic surgery increases the pressure in the abdominal cavity, not only causing elevation of the diaphragm but also allowing more gas to enter the mediastinum through the esophageal hiatus. Open surgery may be preferred. Thoracic epidural anesthesia combined with intravenous anesthesia can prevent the effect of mechanical ventilation on the mediastinum.
Publish Date	2024-01-25 08:28
Citation	Dai ZC, Gui XW, Yang FH, Zhang HY, Zhang WF. Perforated gastric ulcer causing mediastinal emphysema: A case report. World J Clin Cases 2024; 12(4): 859-864
URL	https://www.wjgnet.com/2307-8960/full/v12/i4/859.htm
DOI	https://dx.doi.org/10.12998/wjcc.v12.i4.859

Full Article (PDF)	WJCC-12-859-with-cover.pdf
Full Article (Word)	WJCC-12-859.docx
CARE Checklist–2016	90036-CARE Checklist (2016).pdf
Manuscript File	90036_Auto_Edited-LJH_WangTQ-JLW.docx
Answering Reviewers	90036-Answering reviewers.pdf
Audio Core Tip	90036-Audio core tip.m4a
Conflict-of-Interest Disclosure Form	90036-Conflict-of-interest statement.pdf
Copyright License Agreement	90036-Copyright license agreement.pdf
Signed Consent for Treatment Form(s) or Document(s)	90036-Informed consent statement.pdf
Non-Native Speakers of English Editing Certificate	90036-Language certificate.pdf
Peer-review Report	90036-Peer-review(s).pdf
Scientific Misconduct Check	90036-Bing-Liu JH-2.png
Scientific Misconduct Check	90036-CrossCheck.png
Scientific Editor Work List	90036-Scientific editor work list.pdf