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A precordial rub in a boy with a severe attack of ulcerative colitis.

Pediatr Emerg Care

April 2014

From the *Institute for Maternal and Child Health-IRCCS, Burlo Garofolo, and †University of Trieste, Trieste, Italy.

A case of a pneumomediastinum mimicking a pericarditis in a boy with an occult perforation due to ulcerative colitis is reported. Pneumomediastinum is a rare complication of severe attacks of ulcerative colitis, with or without the previous development of a toxic megacolon, that should be considered in the differential diagnosis.

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