Publication Name	World Journal of Gastrointestinal Surgery
Manuscript ID	119045
Country	China

Category	Surgery
Manuscript Type	Case Report
Article Title	Subcutaneous emphysema due to rectal perforation: A case report
Manuscript Source	Unsolicited Manuscript
All Author List	Yun-Ting Sun, Xiao-Wei Wang, Federico Maria Mongardini, Li-Mian Ling, Li-An Ma and Qian Xiao
Funding Agency and Grant Number	Funding Agency Grant Number National Natural Science Foundation of China 82373234 Key R&D Program of Zhejiang Province 2025C02065
Corresponding Author	Qian Xiao, Chief Physician, Principal Investigator, Professor, Department of Colorectal Surgery and Oncology, The Second Affiliated Hospital, Zhejiang University School of Medicine, No. 88 Jiefang Road, Hangzhou 310009, Zhejiang Province, China. qxiao3@zju.edu.cn
Key Words	Subcutaneous emphysema; Intestinal perforation; Rectal perforation; Atypical presentations; Case report
Core Tip	This case describes extensive subcutaneous emphysema as the primary sign of rectal perforation in an elderly patient. A literature review identified only eight similar non-endoscopic studies. The report underscores that in elderly patients, colorectal perforation may lack typical symptoms, and subcutaneous emphysema can be the leading clue, necessitating timely imaging and surgical evaluation.
Citation	Sun YT, Wang XW, Mongardini FM, Ling LM, Ma LA, Xiao Q. Subcutaneous emphysema due to rectal perforation: A case report. World J Gastrointest Surg 2026; In press

Received	2026-01-19 07:25
Peer-Review Started	2026-01-19 07:27
First Decision by Editorial Office Director	2026-02-13 08:01
Return for Revision	2026-02-14 00:41
Revised	2026-03-06 17:51
Publication Fee Transferred	2026-03-07 03:16
Second Decision by Editor	2026-03-23 02:49
Second Decision by Editor-in-Chief
Final Decision by Editorial Office Director	2026-03-23 09:08
Articles in Press	2026-03-23 09:08
Edit the Manuscript by Language Editor
Typeset the Manuscript

ISSN	1948-9366 (online)
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