scholarly journals A case report of tardive subcutaneous emphysema in relation to iatrogenic pneumothorax

2019 ◽  
Vol 7 ◽  
pp. 2050313X1987097
Author(s):  
Christine Helene Opedal Ringvold ◽  
Ulla Møller Weinreich
Keyword(s):  
Case Report ◽  
Subcutaneous Emphysema ◽  
Treatment Options ◽  
Chest Drain ◽  
Evidence Based ◽  
International Guidelines ◽  
Drain Removal ◽  
Life Threatening ◽  
Subcutaneous Tissues

Subcutaneous emphysema, the presence of air under the subcutaneous tissues, often arises in relation to pneumothorax, including iatrogenic pneumothorax. It can arise as a consequence of chest drain insertion and removal. This case report describes worsening of subcutaneous emphysema subsequent to chest drain removal, leading to tardive and life-threatening subcutaneous emphysema. There are few international guidelines describing chest drain removal and there are few reports describing tardive subcutaneous emphysema. These areas need further exploration using evidence-based research in order to develop a consensus on treatment options.

Cervicofacial Emphysema Secondary to Facebow Injury: A Case Report

2009 ◽  
Vol 33 (4) ◽  
pp. 333-336
Author(s):  
Marco Cicciù ◽  
Giovanni Battista Grossi ◽  
Mario Beretta ◽  
Davide Farronato ◽  
Concetta Scalfaro ◽  
...  
Keyword(s):  
Case Report ◽  
Soft Tissue ◽  
Subcutaneous Emphysema ◽  
Clinical Case ◽  
Dental Procedure ◽  
Life Threatening ◽  
Facial Area ◽  
Orthodontic Device ◽  
Physical Findings

Aim: To report the clinical case of a child with facial and periorbital emphysema caused by an orthodontic device. Case report: An 11-year-old child presented to our clinic showing moderate swelling of the left facial area. Based on his dental history, physical findings, and instrument examinations, the diagnosis of cervicofacial emphysema was established, caused by disengagement of the facebow. One week later, all swelling and crepitus had disappeared without complications. Most patients who develop subcutaneous emphysema after a dental procedure have only moderate local swelling, which normally resolves spontaneously and without complications within a week. However, the spread of large amounts of air into the deeper spaces may cause life-threatening sequelae. Conclusions: Orthodontists should be aware that the use of extraoral traction applied via a facebow can cause soft tissue injures and emphysema of the cervicofacial region. It is important to avoid misdiagnosis and to appropriately inform patient and parents about this condition.

scholarly journals Spontaneous subcutaneous emphysema in a male toddler in a health facility in Nasarawa state: A case report

2021 ◽  
Vol 2 ◽  
pp. 53-55
Author(s):  
Surajudeen Oyeleke Bello ◽  
Sandra Umejiaku ◽  
Taofik Oluwaseun Ogunkunle ◽  
Oyetundun Fausat Afolabi ◽  
Ahmed Ashuku Yakubu
Keyword(s):  
Case Report ◽  
Supportive Care ◽  
Subcutaneous Emphysema ◽  
Complete Resolution ◽  
Rare Complication ◽  
Childhood Pneumonia ◽  
Peripheral Hospital ◽  
The Face ◽  
History Of ◽  
Subcutaneous Tissues

Background: Spontaneous subcutaneous emphysema (SSE) is a clinical condition in which air escapes into the subcutaneous tissues. It is a rare complication of childhood pneumonia and often occurs with pneumothorax and/or pneumomediastinum. Although the sight of a child with SSE could be frightening, it is mostly benign requiring in most cases supportive care. We report a case of SSE complicating pneumonia in an 18-month-old toddler that was managed conservatively. Case Report: An 18-months-old toddler was admitted with a 5-day history of progressive swelling of the face, scalp, upper limbs, and trunk. He was referred from a peripheral hospital where he was admitted for 5 days with pneumonia and had received antibiotics, intravenous fluid, and oxygen therapy. Clinical evaluation revealed extensive subcutaneous emphysema and right-sided pneumothorax. Antibiotics were optimized and the patient was provided supportive care and monitored for 7 days with complete resolution of the emphysema. Conclusion: SSE could complicate childhood pneumonia but it has a benign course. Effective treatment of underlying pneumonia alongside supportive care will achieve complete resolution.

scholarly journals Nebulized racemic epinephrine used in the treatment of severe asthmatic exacerbation: a case report and literature review

CJEM ◽  
2007 ◽  
Vol 9 (04) ◽  
pp. 304-308 ◽  
Author(s):  
Kristopher Wiebe ◽  
Brian H. Rowe
Keyword(s):  
Mechanical Ventilation ◽  
Case Report ◽  
Acute Asthma ◽  
Treatment Options ◽  
Non Invasive ◽  
Systemic Corticosteroids ◽  
Severe Asthmatic ◽  
Nebulized Salbutamol ◽  
Life Threatening ◽  
Severe Acute Asthma

ABSTRACT Acute asthma is a common emergency department (ED) problem that is typically treated with bronchodilators and anti-inflammatories. Nebulized selective, short-acting β-agonists, such as salbutamol, are the bronchodilators of choice in most Canadian EDs. Other important treatments in moderate-to-severe cases include systemic corticosteroids and in severe cases may include the addition of ipratropium bromide and magnesium sulfate. Despite aggressive management, some patients do not respond adequately to nebulized salbutamol. Treatment options in these patients are limited to interventions such as parenteral epinephrine, and non-invasive and mechanical ventilation (or both). Both parenteral epinephrine and mechanical ventilation have associated risks, so alternative treatments with a lower risk profile would be useful for the treatment of life-threatening asthma. The following case report describes a patient in whom nebulized racemic epinephrine was used successfully to treat severe acute asthma following failure of standard first-line therapies.

scholarly journals Hamman’s Syndrome: A Rare Cause of Chest Pain in a Postpartum Patient

2015 ◽  
Vol 2015 ◽  
pp. 1-4 ◽  
Author(s):  
Daniyeh Khurram ◽  
Brijesh Patel ◽  
M. Waseem Farra
Keyword(s):  
Subcutaneous Emphysema ◽  
Valsalva Maneuver ◽  
Diagnostic Technique ◽  
Rare Condition ◽  
Benign Condition ◽  
X Ray ◽  
Life Threatening ◽  
Subcutaneous Tissues ◽  
Chest X Ray ◽  
Tissue Diffusion

Hamman’s syndrome is a rare condition represented by spontaneous pneumomediastinum and subcutaneous emphysema. Excessive Valsalva maneuver during vaginal delivery and excessive retching, coughing, and straining are frequently reported causes. The incidence of Hamman’s syndrome is believed to be 1 in 100,000 deliveries. The pathophysiology of this condition is rupture of alveoli and seepage of air through bronchovascular connective tissue. Diffusion of air to subcutaneous tissues results in subcutaneous emphysema. In most cases, it is a benign condition and resolves spontaneously. In life-threatening cases, a cardiac tamponade can ensue. Chest X-ray is a useful early diagnostic technique. We report a case of a twenty-four-year-old female who was diagnosed with Hamman’s syndrome after prolonged, exhaustive labor.

scholarly journals Acute Acalculous Cholecystitis with Empyema due to Salmonellosis

2019 ◽  
Vol 2019 ◽  
pp. 1-4 ◽  
Author(s):  
Georgios D. Lianos ◽  
Panagiota Drosou ◽  
Rizos Souvatzoglou ◽  
Anastasia Karampa ◽  
Georgios Vangelis ◽  
...  
Keyword(s):  
Case Report ◽  
Clinical Condition ◽  
Treatment Options ◽  
Good Condition ◽  
Acalculous Cholecystitis ◽  
Acute Acalculous Cholecystitis ◽  
Emergency Setting ◽  
First Case ◽  
Life Threatening ◽  
High Index Of Suspicion

Empyema of acalculous gallbladder in the setting of salmonellosis represents an extremely rare and life-threatening clinical condition in adults. In this unique case report, we deal with a previously healthy patient who developed acalculous cholecystitis and empyema due to infection by Salmonella. He underwent explorative laparotomy in emergency setting, and cholecystectomy was performed due to his toxic clinical condition. Empyema of gallbladder was revealed and cultures were collected. A combination of antibiotics (ciprofloxacin and metronidazole) was set, and the patient was discharged 8 days after the surgical operation in good condition. It has to be highlighted that acalculous cholecystitis is a rare entity, mostly at critically ill patients, and treatment options depend on clinical condition, risk factors, and etiology. To our knowledge, this is the first case report dealing with acalculous cholecystitis with empyema due to salmonellosis up to date. Although it is extremely rare, high index of suspicion is needed by the operating surgeon in order to avoid unfavorable outcomes.

scholarly journals Subcutaneous and Mediastinal Emphysema Followed by Group A Beta-Hemolytic Streptococci Mediastinitis. A Complicated Course after Adenotonsillectomy: Case Report

Diagnostics ◽  
2019 ◽  
Vol 9 (1) ◽  
pp. 11 ◽  
Author(s):  
Anne Duvekot ◽  
Gwen van Heesch ◽  
Laura Veder
Keyword(s):  
Case Report ◽  
Subcutaneous Emphysema ◽  
Health Professionals ◽  
Clinical Course ◽  
Daily Practice ◽  
Rapid Diagnosis ◽  
Adequate Treatment ◽  
Life Threatening ◽  
Group A ◽  
Complicated Course

Tonsillectomy is a commonly performed surgery in the daily practice of an otorhinolaryngologist. For patients as well as health professionals, the best known complication is post-operative bleeding. Among the less noted, but potentially life-threatening, complications are the development of subcutaneous emphysema and the presence of bacteremia due to group A hemolytic streptococci. In this report, we describe a severely complicated clinical course after an uncomplicated adenotonsillectomy in a young boy. Increased awareness of relatively unknown complications after adenotonsillectomy amongst surgeons, pediatricians and anesthesiologists is desirable to facilitate rapid diagnosis and adequate treatment in order to prevent life-threatening situations.

scholarly journals Subcutaneous Facial Emphysema Following Open-Flap Air-Powder Abrasive Debridement for Peri-Implantitis: A Case Report and an Overview

2021 ◽  
Vol 18 (24) ◽  
pp. 13286
Author(s):  
Gerardo La Monaca ◽  
Nicola Pranno ◽  
Susanna Annibali ◽  
Iole Vozza ◽  
Maria Paola Cristalli
Keyword(s):  
Case Report ◽  
Subcutaneous Emphysema ◽  
Clinical Manifestations ◽  
Dental Hygienists ◽  
Implant Surface ◽  
Present Case Report ◽  
Dental Practitioners ◽  
Subcutaneous Tissues ◽  
Gas Penetration ◽  
Open Flap Debridement

Subcutaneous facial emphysema related to dental treatments is a well-known clinical complication due to incidental or iatrogenic air or gas penetration into the subcutaneous tissues and fascial planes, leading to distension of the overlying skin. To the best of our knowledge, from 1960 to the current date, only six cases have been reported arising from peri-implant cleaning or non-surgical peri-implantitis treatment. Therefore, the present case of subcutaneous facial emphysema following open-flap air-powder abrasive debridement was the first report during surgical peri-implantitis therapy. Swelling on the left cheek and periorbital space suddenly arose in a 65-year-old woman during open-flap debridement with sodium bicarbonate air-powder abrasion (PROPHYflex™ 3 with periotip, KaVo, Biberach, Germany) of the infected implant surface. The etiology, clinical manifestations, diagnosis, potential complications, and management of subcutaneous emphysema are also briefly reviewed. The present case report draws the attention of dental practitioners, periodontists, oral surgeons, and dental hygienists to the potential iatrogenic risk of subcutaneous emphysema in using air-powder devices in implant surface debridement.

scholarly journals Autologous transfusion in a patient with life threatening traumatic haemothorax: Case Report.

2013 ◽  
Vol 13 (1) ◽  
pp. 76-79
Author(s):  
Jasveer Singh ◽  
Dheeraj Kapoor ◽  
Manpreet Singh
Keyword(s):  
Case Report ◽  
Medical Science ◽  
Thoracic Injury ◽  
Successful Outcome ◽  
Chest Drain ◽  
Acute Management ◽  
Thoracic Injuries ◽  
Autologous Transfusion ◽  
Life Threatening ◽  
Intraoperative Period

Penetrating thoracic injuries frequently presents a challenge to the clinicians. The situation may become more deleterious owing to the unavailability of adequate blood of required group. We discuss the acute management of a patient with life threatening traumatic haemothorax following penetrating thoracic injury. In this patient, autologous transfusion of patient blood collected in chest drain was performed during intraoperative period using an indigenous technique with successful outcome. DOI: http://dx.doi.org/10.3329/bjms.v13i1.14146 Bangladesh Journal of Medical Science Vol. 13 No. 01 January2014: 76-79 

scholarly journals Hemoophagocitic Lymphohistiocytosis a Case Report

2021 ◽  
pp. 1-3
Author(s):  
Marsela Shani ◽  
Keyword(s):  
Case Report ◽  
Clinical Presentation ◽  
Therapeutic Agents ◽  
Evidence Based ◽  
Adult Onset ◽  
Delay In Diagnosis ◽  
Current State ◽  
Familial Form ◽  
Threatening Condition ◽  
Life Threatening

Hemophagocytic lymphohistiocytosis (HLH), a rare but life-threatening condition characterized by uncontrolled inflammation, is increasingly recognized in adults. The management of adult onset HLH is challenging, in part due to gaps in current state of knowledge on etiology, clinical presentation, diagnosis, and management. HLH secondary to triggers such as infections, autoimmune disorders, and malignancy are more commonly seen in adults although cases of familial form have also been reported. Underlying conditions such as sepsis, or malignancy could pose as major confounders while applying universal diagnostic criteria, and therefore could lead to delay in diagnosis. Despite advent of newer therapeutic agents, outcomes of adults continue to remain poor. Future efforts need to be orchestrated to develop evidence-based tailored therapies to improve outcomes of this under recognized heterogeneous entity.

scholarly journals Immature neck teratoma in the newborn

2020 ◽  
Vol 7 (1) ◽  
pp. 70-74
Author(s):  
N. N. Ivanova ◽  
A. M. Mitrofanova ◽  
D. V. Shevtsov ◽  
I. N. Vorozhtsov ◽  
N. S. Grachev
Keyword(s):  
Case Report ◽  
Head And Neck ◽  
Treatment Options ◽  
Neck Region ◽  
Residual Tumour ◽  
Head And Neck Region ◽  
Tumour Removal ◽  
Rare Location ◽  
Tumour Location ◽  
Life Threatening

One of rare location of teratoma in children is head and neck region. Treatment options, including surgery, are determined by tumour location, its grade of differentiation, and patients age. This article presents case report of immature paratracheal neck teratoma in a 3-month old child, subjected for second-look surgery for residual tumour removal due to the risk of life-threatening complications.

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