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June 23, 1969

Mediastinal and Subcutaneous Emphysema in Diabetic Coma With VomitingReport of Four Cases

Author Affiliations

From the University of Southern California School of Medicine and the Los Angeles County/USC Medical Center, Los Angeles.

JAMA. 1969;208(12):2315-2318. doi:10.1001/jama.1969.03160120039009

Four patients with severe diabetic ketoacidosis in coma had proven mediastinal and subcutaneous emphysema and, in each patient, the probable cause was emesis. There was no evidence of esophageal laceration or rupture. Recovery was complete without surgical intervention or other specific therapy for the emphysema.