Publication Name	World Journal of Clinical Cases
Manuscript ID	112593
Country	Taiwan

Category	Surgery
Manuscript Type	Case Report
Article Title	Perforated sigmoid colon diverticulitis initially presenting with pneumoperitoneum, pneumoretroperitoneum, and pneumomediastinum: A case report
Manuscript Source	Unsolicited Manuscript
All Author List	Po-En Wu, Po-Jung Chen, Wei-Chih Su, Tsung-Kun Chang and Yen-Cheng Chen
Funding Agency and Grant Number
Corresponding Author	Yen-Cheng Chen, MD, Division of Colorectal Surgery, Department of Surgery, Kaohsiung Medical University Hospital, Kaohsiung Medical University, No. 100 Tzyou 1st Road, Kaohsiung 80708, Taiwan. googoogi05@gmail.com
Key Words	Diverticulitis; Colonic perforation; Pneumoperitoneum; Pneumoretroperitoneum; Pneumomediastinum; Case report
Core Tip	This case highlights the rare but critical complications of pneumoretroperitoneum and pneumomediastinum in perforated diverticulitis, emphasizing the importance of high clinical suspicion in patients with atypical presentations. Timely computed tomography imaging and prompt surgical intervention are essential, as delayed diagnosis can lead to increased morbidity and mortality. Despite the absence of typical peritoneal signs, early detection and intervention are crucial for improving patient outcomes.
Citation	Wu PE, Chen PJ, Su WC, Chang TK, Chen YC. Perforated sigmoid colon diverticulitis initially presenting with pneumoperitoneum, pneumoretroperitoneum, and pneumomediastinum: A case report. World J Clin Cases 2025; In press

Received	2025-08-04 09:29
Peer-Review Started	2025-08-04 09:30
To Make the First Decision
Return for Revision	2025-08-14 03:35
Revised	2025-08-27 02:43
Second Decision	2025-11-14 02:42
Accepted by Journal Editor-in-Chief
Accepted by Executive Editor-in-Chief	2025-11-14 09:08
Articles in Press	2025-11-14 09:08
Publication Fee Transferred	2025-08-29 11:03
Edit the Manuscript by Language Editor
Typeset the Manuscript

ISSN	2307-8960 (online)
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