Subcutaneous Emphysema Secondary to Tonsillectomy

ABSTRACT Background Tonsillectomy is one of the most common surgical procedures performed worldwide. However, it can potentially be associated with several complications. One of the very rare complications post-tonsillectomy in adults is subcutaneous emphysema, as in our case here. Although, most reported cases are resolved spontaneously, it may lead to fatal complications, like tension pneumothorax. Case report Tonsillectomy was performed on an adult patient with history of frequent tonsillitis. The patient developed facial subcutaneous emphysema 48 hours after the surgery (evident by clinical and radiological examination) that resolved within 2 days without further complications. Conclusion Tonsil should be removed along with tonsilar capsule. If tonsillectomy causes deeper than usual mucosal tear up to the level of the muscles, then air might pass into the subcutaneous tissue through the tonsillar fossa and superior constrictor muscle into fascial layers of neck. Emphysema can then spread to parapharyngeal, retropharyngeal spaces and mediastinum with its related morbidity. Though a rare complication, all otorhinolaryngologists must be aware of this complication and its management. How to cite this article Abraham SS, Stephen V, Deve L, Kurien M. Subcutaneous Emphysema Secondary to Tonsillectomy. Int J Otorhinolaryngol Clin 2015;7(2):78-80.

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Widespread Subcutaneous Emphysema After J-Plasma Therapy

The American Journal of Cosmetic Surgery ◽

10.1177/0748806820947906 ◽

2020 ◽

pp. 074880682094790

Author(s):

Jia Y. Lim ◽

Muhammad Umair Javed ◽

Wiktor Pilch ◽

Abdullah Ibrahim ◽

Jack Harbison

Keyword(s):

Surgical Technique ◽

Plastic Surgery ◽

Subcutaneous Emphysema ◽

Subcutaneous Tissue ◽

Rare Complication ◽

Plasma Therapy ◽

Postoperative Assessment ◽

Risks And Benefits ◽

Surgery Department ◽

Fatal Complications

Subcutaneous emphysema refers to the abnormal presence of free gas within the subcutaneous tissue. Its cause can be broadly classified into 3 main causes: (1) infection by gas-forming microorganisms, (2) visceral perforation of luminal organs, and (3) spontaneous alveolar rupture. We report a case of a 48-year-old lady who developed extensive subcutaneous emphysema after undergoing VASER-assisted liposuction and J-Plasma® therapy at a local cosmetic clinic. The patient was admitted to our tertiary plastic surgery department where she was managed conservatively and discharged at day 3 without any complications. Subcutaneous emphysema is a known but rare complication of liposuction. While subcutaneous emphysema is usually self-limiting, fatal complications can occur. As such, patients considering these procedures should be informed of its risks and benefits to allow them to make an informed decision. This report highlights the importance of meticulous surgical technique in liposuction and its postoperative assessment.

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

10.25259/jpats_7_2020 ◽

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.

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A Case Report of Acute Airway Compromise due to Subcutaneous Emphysema

Case Reports in Medicine ◽

10.1155/2018/3103061 ◽

2018 ◽

Vol 2018 ◽

pp. 1-5 ◽

Cited By ~ 3

Author(s):

David Olmstead ◽

Gary Gelfand ◽

Ian Anderson ◽

John B. Kortbeek

Keyword(s):

Case Report ◽

Airway Obstruction ◽

Subcutaneous Emphysema ◽

Rare Complication ◽

Traumatic Injury ◽

Upper Airway ◽

Acute Management ◽

Airway Compromise ◽

Current Management ◽

Airway Patency

In the acute management of a trauma patient, airway patency is of utmost importance. The present case describes a male patient who presented with delayed severe upper airway obstruction secondary to massive subcutaneous emphysema following blunt traumatic injury two days previously. Airway compromise is a rarely described but serious complication of subcutaneous emphysema. Current management of subcutaneous emphysema and its association with pneumothorax is summarized. Early decompression of underlying pneumothoraces in patients with significant subcutaneous emphysema should be performed to avoid this rare complication.

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Lingual hemangioma in a puppy: a case report and literature review

Journal of the American Animal Hospital Association ◽

10.5326/15473317-33-2-161 ◽

1997 ◽

Vol 33 (2) ◽

pp. 161-165 ◽

Cited By ~ 10

Author(s):

SH Schoofs

Keyword(s):

Case Report ◽

Literature Review ◽

Oral Cavity ◽

Surgical Procedures ◽

Blood Transfusions ◽

Severe Anemia ◽

Intact Female ◽

Recurrent Hemorrhage ◽

History Of

A seven-month-old, intact female Jack Russell terrier was presented with a history of recurrent hemorrhage originating in the oral cavity. The puppy had a severe anemia and a lingual hemangioma. Several blood transfusions and two separate surgical procedures were necessary to control the problem. The first surgery was a resection of almost 50% of the tongue lengthwise. A similar intervention was performed two months later. A literary review of lingual tumors in animals and in humans is presented.

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Facial Gel Complication after Dental Injection: A Case Report

Craniomaxillofacial Trauma & Reconstruction ◽

10.1055/s-0033-1349204 ◽

2013 ◽

Vol 6 (4) ◽

pp. 267-269 ◽

Cited By ~ 1

Author(s):

Fereydoun Pourdanesh ◽

Shahin Shams ◽

Hasan Mir Mohammad Sadeghi

Keyword(s):

United States ◽

Case Report ◽

Local Anesthetic ◽

Rare Complication ◽

The United States ◽

Polyacrylamide Gel ◽

Filler Materials ◽

Permanent Filler ◽

History Of ◽

Materials Used

Injectable gel is becoming increasingly popular for cosmetic reasons. The polyacrylamide gel (PAAG) is a permanent filler material used worldwide. In spite of the fact that the filler materials used today are considered quite safe, various complications have been reported in the literature. Hence PAAG use in the United States is not popular. As the area is very close to the dental field, a large complication potential is relatively considered following buccal dental injections. The aim of this article is to highlight a rare complication observed following a local anesthetic administration of a simple molar restoration in a healthy 33-year-old woman who had history of a filler augmentation in her cheek approximately 6 years ago.

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Extensive Subcutaneous Emphysema and Pneumomediastinum after Ecstasy Ingestion

Case Reports in Otolaryngology ◽

10.1155/2013/795867 ◽

2013 ◽

Vol 2013 ◽

pp. 1-3 ◽

Cited By ~ 1

Author(s):

A. Gungadeen ◽

J. Moor

Keyword(s):

Case Report ◽

Chest Pain ◽

Young Adult ◽

Conservative Management ◽

Subcutaneous Emphysema ◽

Rare Case ◽

Relevant Literature ◽

Radiological Imaging ◽

Neck Swelling ◽

History Of

Objective. To present a rare case of extensive subcutaneous emphysema and spontaneous pneumomediastinum following ingestion of Ecstasy in a young adult. We also review the relevant literature and discuss how this case supplements it.Case Report. We report a case of a 19-year-old man with a history of painless neck and chest swelling, and no chest pain or breathlessness, after consuming Ecstasy tablets. Radiological imaging showed evidence of pneumomediastinum and extensive subcutaneous emphysema. The patient remained well under observation and his symptoms improved with conservative management.Conclusions. Subcutaneous emphysema and pneumomediastinum after Ecstasy ingestion is uncommon. Cases are often referred to the otolaryngologist as they can present with neck and throat symptoms. Our case showed that the severity of symptoms may not correlate with severity of the anatomical abnormality and that pneumomediastinum should be suspected in Ecstasy users who present with neck swelling despite the absence of chest symptoms. Although all cases reported so far resolved with conservative management, it is important to perform simple investigations to exclude coexisting serious pathology.

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Procidencia with rare complication -a case report

KYAMC Journal ◽

10.3329/kyamcj.v3i1.13662 ◽

2013 ◽

Vol 3 (1) ◽

pp. 262-264

Author(s):

Mst Atia Sultana ◽

Monira Akter ◽

Shafiul Anam

Keyword(s):

Abdominal Pain ◽

Case Report ◽

Rare Complication ◽

Lower Abdominal Pain ◽

Chemical Substances ◽

Abdominal Tenderness ◽

History Of

Mrs. Lalbanu 65 years old lady presented to us with the complaints of something coming down per vagina for 10 years, foul smelling discharge for 2 months, fever & maggot formation for 5 days, she also gave history of applying some chemical substances on her prolapsed mass of genitalia, and she also complains of lower abdominal pain for last 5 days. On examination, prolapsed mass was distorted, edematous, infected, irreducible & there were maggots, her temperature was raised & having lower abdominal tenderness. She was treated at first conservatively & then surgically. Now she is well & with our follow up.DOI: http://dx.doi.org/10.3329/kyamcj.v3i1.13662 KYAMC Journal Vol. 3, No.-1, June 2012 pp.262-264

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Giant tonsillolith: a case report and review of literature

International Journal of Scientific Reports ◽

10.18203/issn.2454-2156.intjscirep20150210 ◽

2015 ◽

Vol 1 (1) ◽

pp. 89

Author(s):

Hitesh Verma ◽

Arjun Dass ◽

Surinder K. Singhal ◽

Nitin Gupta

Keyword(s):

Case Report ◽

Foreign Body ◽

Oral Cavity ◽

Rare Clinical Entity ◽

Review Of Literature ◽

Tonsillar Fossa ◽

Body Sensation ◽

The World ◽

History Of ◽

One Year

We had a sixty years old male patient, who had one year history of foreign body sensation in throat and the history of odynophagia for the last ten days. The NCCT neck showed 3.08×2.28 cm homogenous calcified mass in left tonsillar fossa. The stone was removed and tonsillectomy was performed. Giant tonsillolith is a rare clinical entity. As per available literature, 54 cases of giant tonsilloliths have been reported and to the best of our knowledge, this is one of the largest tonsillolith in the world till date. Keywords: Tonsillolith, Oral cavity

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Leptomeningeal Cyst in the Adult: Case Report and Review of the Literature

Surgical Case Reports ◽

10.31487/j.scr.2021.02.05 ◽

2021 ◽

pp. 1-3

Author(s):

Paula Pilar Morales Cejas ◽

Yanire Sánchez Medina ◽

Marta García Berrocal ◽

Luis Francisco Gómez Perals

Keyword(s):

Case Report ◽

Rare Complication ◽

Review Of The Literature ◽

Adult Case ◽

Leptomeningeal Cyst ◽

Case Presentation ◽

Affected Area ◽

Previous Trauma ◽

History Of ◽

Childhood Fractures

Background: Leptomeningeal cysts are a rare complication of childhood fractures, being very rare in adulthood and usually related to previous trauma generated in children. Case Presentation: We present a case of “growing fracture” in a 70-year-old woman with a history of head injury in childhood, who clinically debuted with paresthesia-dysesthesia in the left hemicranium and hypersensitivity and pain in the affected area, and who was treated with surgical treatment. Conclusion: We review the pathogenesis, diagnosis and treatment of this injury today.

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Hematocervix as an Uncommon Complication of Cesarean Delivery: A Case Report

Gynecology Obstetrics and Reproductive Medicine ◽

10.21613/gorm.2018.802 ◽

2019 ◽

pp. 1

Author(s):

Ozlem Ece Basaran ◽

Emine Seda Guvendag Guven ◽

Suleyman Guven

Keyword(s):

Case Report ◽

Cesarean Delivery ◽

Rare Complication ◽

Lower Abdominal Pain ◽

Good Health ◽

Transvaginal Sonography ◽

Mri Findings ◽

History Of ◽

Vaginal Misoprostol ◽

Full Term Delivery

Hematometra is a condition of retained blood or clot in the uterus. If just the cervix is affected by collection, the condition is described as hematocervix. The hematocervix should be suspected in a women with amenorrhea and recurrent lower abdominal pain. The objective of this case report was to report a rare case of isolated hematocervix following cesarean delivery.A 27-years-old primigravidae woman was admitted with the complaints of severe pelvic pain and amenorrhea. She had the history of full term delivery via cesarean section because of prolonged latent phase of labor almost 3 months ago. Pelvic examination, transvaginal sonography and MRI findings were confirmed the diagnosis of hematocervix cervical dilatation and curettage following vaginal misoprostol was done and the women was discharged with good health status.The increased rates of cesarean delivery in all over the world caused increase in rare complication such as isolated hematocervix. Dilatation and drainage of cervical collection is safe and effective treatment in such cases.

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