TY - JOUR. T1 - Pneumopericardium as a first sign of oesophageal perforation. T2 - The role of echocardiography. AU - Yedlapati, Neeraja. AU - Thande, Njeri. AU - Spevack, Daniel. AU - Garcia, Mario J.. AU - Taub, Cynthia. PY - 2012/8/1. Y1 - 2012/8/1. UR - http://www.scopus.com/inward/record.url?scp=84866248436&partnerID=8YFLogxK. UR - http://www.scopus.com/inward/citedby.url?scp=84866248436&partnerID=8YFLogxK. U2 - 10.1093/ehjci/jes046. DO - 10.1093/ehjci/jes046. M3 - Comment/debate. VL - 13. JO - European Heart Journal Cardiovascular Imaging. JF - European Heart Journal Cardiovascular Imaging. SN - 2047-2404. IS - 8. ER - ...
Case Reports in Emergency Medicine is a peer-reviewed, Open Access journal that publishes case reports in all areas of emergency medicine.
A 21-year-old man with a history of asthma and albuterol noncompliance presented to the emergency department with chest pain and shortness of breath. He reported 2 days of wheezing and coughing episodes. On arrival, his vital signs were normal, but auscultation revealed bilateral wheezing. A chest radiograph revealed subcutaneous emphysema and pneumopericardium (image A, arrows). A subsequent computed tomographic image showed pneumorrhachis (image B, arrow), a rare but generally benign phenomenon of intraspinal air. The patient was observed for 48 hours to monitor for complications and discharged with suggested pulmonary follow-up after 1 week. ...
Bevezetés: Mellkasi subcutan emyphysemát különféle jó- és rosszindulatú mellkasi és hasi kórképek okozhatnak. Az irodalomban eddig mindössze 7 olyan esetet írtak le, amikor sigma- vagy rectumperforatio következtében alakult ki ez a ritka tünet. Esetismertetés: Az általunk bemutatott 72 éves nőbeteg mellkasi panaszok miatt fordult orvoshoz. Subcutan mellkasi és nyaki emphysema, pneumomediastinum és pneumopericardium hátterében azonban acut hasi kórkép igazolódott: a teljes obstructiót okozó felső harmadi rectumtumor vezetett colon transversum perforatióhoz, amely a beteg gyenge általános állapotának, kísérő betegségeinek és korábbi műtéteinek köszönhetően atípusos klinikai képpel jelentkezett. Összefoglalás: A mellkasi subcutan emphysema ritka tünet, amely komoly diagnosztikus kihívást jelenthet, különösen multimorbid betegeknél, akiknél életveszélyes betegségek időnként larvált formában jelentkeznek. Atípusos klinikai kép esetén ...
The importance of autopsy procedures leading to the establishment of the cause of death is well-known. A recent addition to the autopsy work flow is the possibility of conducting postmortem imaging, in its 3D version also called virtual autopsy (VA), using multidetector computed tomography (MDCT) or magnetic resonance imagining (MRI) data from scans of cadavers displayed with direct volume rendering (DVR) 3D techniques. The use of the data and their workflow are presented. Data acquisition was performed and high quality data-sets with submillimeter precision were acquired. New data acquisition techniques such as dual-energy CT (DECT) and quantitative MRI, then were implemented and provided additional information. Particular findings hardly visualized in conventional autopsy can rather easy be seen at the full body CT, such as air distribution, e.g. pneumothorax, pneumopericardium, air embolism, and wound channels. MRI shows natural deaths such as myocardial infarctions. Interactive visualization ...
Definition of hydropneumopericardium. Provided by Stedmans medical dictionary and Drugs.com. Includes medical terms and definitions.
Hammans syndrome (spontaneous subcutaneous emphysema and pneumomediastinum) is a rare complication of diabetic ketoacidosis (DKA), with a multifactorial etiology. Awareness of this syndrome is important: it is likely underdiagnosed as the main symptom of shortness of breath is often attributed to Kussmauls breathing and the findings on chest radiograph can be subtle and easily missed. It is also important to be aware of and consider Boerhaaves syndrome as a differential diagnosis, a more serious condition with a 40% mortality rate when diagnosis is delayed. We present a case of pneumomediastinum, pneumopericardium, epidural emphysema and subcutaneous emphysema complicating DKA in an eighteen-year-old patient. We hope that increasing awareness of Hammans syndrome, and how to distinguish it from Boerhaaves syndrome, will lead to better recognition and management of these syndromes in patients with diabetic ketoacidosis. ...
Hammans syndrome (spontaneous subcutaneous emphysema and pneumomediastinum) is a rare complication of diabetic ketoacidosis (DKA), with a multifactorial etiology. Awareness of this syndrome is important: it is likely underdiagnosed as the main symptom of shortness of breath is often attributed to Kussmauls breathing and the findings on chest radiograph can be subtle and easily missed. It is also important to be aware of and consider Boerhaaves syndrome as a differential diagnosis, a more serious condition with a 40% mortality rate when diagnosis is delayed. We present a case of pneumomediastinum, pneumopericardium, epidural emphysema and subcutaneous emphysema complicating DKA in an eighteen-year-old patient. We hope that increasing awareness of Hammans syndrome, and how to distinguish it from Boerhaaves syndrome, will lead to better recognition and management of these syndromes in patients with diabetic ketoacidosis. ...
Although a rare complication of labor, subcutaneous emphysema and pneumomediastinum (Hammans syndrome) must be considered in the parturient complaining of chest or neck pain, dysphagia, or shortness of breath. With conservative management, the prognosis is favorable. The case presented is the first of Hammans syndrome complicating the labor of a twin gestation. The pathophysiology, symptoms, and management guidelines for the syndrome are reviewed. ...
TY - JOUR. T1 - Subcutaneous emphysema and pneumomediastinum in the postpartum period.. AU - Wall, E. M.. AU - Fields, Scott. AU - Pitre, C.. PY - 1992/3. Y1 - 1992/3. UR - http://www.scopus.com/inward/record.url?scp=0026827385&partnerID=8YFLogxK. UR - http://www.scopus.com/inward/citedby.url?scp=0026827385&partnerID=8YFLogxK. M3 - Article. C2 - 1575076. AN - SCOPUS:0026827385. VL - 5. SP - 223. EP - 224. JO - Journal of the American Board of Family Medicine. JF - Journal of the American Board of Family Medicine. SN - 1557-2625. IS - 2. ER - ...
Spontaneous pneumomediastinum is uncommon in paediatric practice. We describe two cases of spontaneous pneumomediastinum in a child and an adolescent with anorexia nervosa. Thorough investigation failed to reveal any underlying cause for secondary pneumomediastinum. Pneumomediastinum in anorexia nervosa can be caused by not only elevated intrathoracic pressures, but also by the poor quality of the alveolar walls due to malnutrition. The incidence of spontaneous pneumomediastinum in anorexia nervosa is probably higher than that recorded, since it resolves spontaneously and, therefore, it can remain undetected. We conclude that it is our considered opinion that malnutrition associated with anorexia nervosa predisposes for spontaneous pneumomediastinum due to weakness of the alveolar wall and the loss of connective tissue.
Subcutaneous emphysema is a relatively rare complication of dental treatment, although increasingly due to the use of high pressure air instruments. Many cases go unrecognized or are misdiagnosed. Majority of patients with this complication resolve spontaneously after 5 to 10 days, however some can advance to potentially life-threatening complications. A case of subcutaneous emphysema during restorative procedure in a 52-year-old woman was treated in the Docent Odontological Clinic of the Frontera University is presented. The differential diagnosis and management of this condition is discussed. Our purpose is not to add one more case of emphysema to literature, but to show dentists that in simple restorative procedures using air pressure instruments, they could be exposed to this complication ...
Subcutaneous Emphysema is a condition that occurs when air gets into the tissue beneath the skin. Subcutaneous emphysema consist of
The haystack sign on chest x-rays in paediatric patients is indicative of pneumomediastinum. The paediatric heart is surrounded above and below with gas, giving it an appearance of a haystack from Monets paintings.
An article published in the January-February, 2014 edition of Female pelvic medicine and reconstructive surgery titled "Pneumomediastinum after robotic sacrocolpopexy." reviews a case of pneumomediastinum in a woman who underwent robot-assisted surgery for the repair of posthysterectomy prolapse. The team writes "Pneumomediastinum is a rare but potential complication of laparoscopy that is related…. ...
Learn about the causes, symptoms, diagnosis & treatment of Mediastinal and Pleural Disorders from the Professional Version of the Merck Manuals.
Introduction: Subcutaneous and mediastinal emphysema is a rare complication after tonsillectomy. This case presentation and literature review summarizes the existing literature on this unusual complication. Materials and Methods: This study presents a case of a 21-year-old man who developed a cervical subcutaneous emphysema 6 days after tonsillectomy, whereby conservative treatment produced spontaneous resolution. A proper analysis of this case also required undertaking a systematic search in MEDLINE/PubMed and SCOPUS electronic databases concerning this rare complication, without language restrictions. Results: Based on our criteria, we identified 41 reports including 43 individual cases, in which patients were mostly young and equally distributed between the genders (17 males and 22 females, two unknown). The treatment was mainly conservative and consisted of observation and/or antibiotic therapy. Conclusion: Subcutaneous or mediastinal emphysema is an uncommon complication after tonsillectomy. It
An 83-year-old woman was brought to the emergency department (ED) by the Emergency Medical Services (EMS) due to referred anaphylactic shock. While eating, she started choking and her neck and lips swelled. Upon arrival at the ED she was confused, tachycardic and hypotensive (heart rate 130 bpm, blood pressure 86/40 mm Hg); the hypotension was slightly improved by colloid and dopamine infusion. A … ...
This leaves the lung and smaller airways within it to consider. They are, by far, the most common sources of pneumomediastinum. The most common pattern is that this injury causes a small pneumothorax, which dissects into the mediastinum over time. On occasion, the leak tracks along the visceral pleura and moves directly to the mediastinum.. Management is simple: a repeat chest xray after 6 hours is needed to show non-progression of any pneumothorax, occult or obvious. This image will usually show that the mediastinal air is diminishing as well. There is no need for the patient to be kept NPO or in bed. Monitor any subjective complaints and if all progresses as expected, they can be discharged after a very brief stay.. ...
Lung fields are clear. There is mediastinal air present. Pleural margins show a small apical pneumothorax on the left and a trace apical pneumothorax on the right. Diffuse subcutaneous emphysema along anterior chest and both sides, as well as in the soft tissues of the neck. There is also intraperitoneal and retroperitoneal free air.
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Emphysematous cystitis (EC) is the presence of intramural gas, with or without luminal gas, within the bladder as a result of a primary infection of the lower urinary tract with a gas-producing organism. It is a well-recognised complication of urinary tract infections involving Escherichia coli in diabetic patients. Clinical subcutaneous emphysema is a rare complication of EC that appears to have poor prognosis. Only careful clinical judgement, and a high degree of suspicion, will lead to its early diagnosis and treatment. Here, we report a case of subcutaneous emphysema due to EC based on a clinical diagnosis confirmed using computed tomography (CT).
Free, official info about 2015 ICD-9-CM diagnosis code 958.7. Includes coding notes, detailed descriptions, index cross-references and ICD-10-CM conversion info.
El enfisema subcutáneo es una complicación poco frecuente en la práctica odontológica, que ha ido en aumento debido al uso de instrumentos con aire a presión. Muchos de los casos no son reconocidos o presentan un diagnóstico errado. La mayor parte de los p...
Spinnacker sail sign - Right sided pneumothorax, suspicious lucency along left heart border, thymus appears elevated ?pneumomediastinum. Mild shift of mediasti…
Objective: Pneumomediastinum (PM) can be observed after blunt and penetrating chest trauma. Most of the patients with PM due to trauma can be managed conservatively. This study aimed to evaluate the cases with PM on thorax computed tomography (CT) after blunt chest trauma (BCT). Methods: Medical records of patients with PM due to BCT between January 2000 and December 2014 were reviewed retrospectively. Thorax CT was used to verify pneumomediastinum in all patients. Twenty-four patients which had different causes of PM (penetrating trauma, iatrogenic, spontaneous) were excluded from the study. Data of sixty-nine patients with the diagnosis of PM secondary to BCT and who were observed without any further procedure for the cause of PM, were evaluated retrospectively. Results: There were 59 male and 10 female patients with the mean age of 47.60 ± 17.47 years (range, 16 to 80 years). The most common cause of PM etiology was traffic accident with a rate of 38 (55.06%) patients, followed by fall from height
Subcutaneous emphysema of the scrotum due to traumatic pneumothorax is a rare medical situation and only a few cases are reported in the literature. We present the case of a 22 year old man who was admitted to the emergency department after a motorcycle accident having a painless crepitant scrotum and chest excoriations. Further evaluation revealed subcutaneous emphysema of the scrotum caused by left pneumothorax. In conclusion, subcutaneous emphysema of the scrotum (or pneumoscrotum) due to traumatic pneumothorax is not an urgent condition and assessment should be supportive with intervention directed at the etiology, e.g. the pneumothorax.
Pneumomediastinum occurs when air infiltrates the mediastinal structures after a rupture of the esophagus, trachea, or lung.1 Sometimes it occurs spontaneously, with the cause never determined.. -Esophageal: Boerhaave syndrome, Mallory-Weiss tear, complication of endoscopy, blunt or penetrating trauma, foreign body ingestion. Carries a mortality rate of 30-50% from ensuing mediastinitis.2. -Pulmonary: Asthma (most common source in pediatrics), barotrauma, vigorous coughing, vomiting, childbirth, weightlifting, valsalva, rapid ascent while scuba diving, blunt or penetrating trauma, toxic inhalants. Usually self-limiting without intervention and does not carry a mortality risk.3. Pneumomediastinum can present with sore throat, chest pain radiating to back or neck, voice distortion, or shortness of breath.4 You may feel the characteristic crepitus if air infiltrates the subcutaneous tissue resulting in subcutaneous emphysema. It is more common in children, males, and those with pre-existing lung ...
It can be induced to assist thoracoscopic surgery.[7] It can be caused by a pulmonary barotrauma resulting when a person moves to or from a higher pressure environment, such as when a SCUBA diver,[8][9] a free-diver[10] or an airplane passenger[11] ascends or descends. In rare cases, pneumomediastinum may also arise as a result of blunt chest trauma (e.g. car accidents, fights, over pressure of breathing apparatus), while still evolving in the same fashion as the spontaneous form.[12] Pneumomediastinum is most commonly seen in otherwise healthy young male patients and may not be prefaced by a relevant medical history of similar ailments.[13] ...
Case Reports in Otolaryngology is a peer-reviewed, Open Access journal that publishes case reports in all areas of otolaryngology, including head and neck surgery, facial plastic and reconstructive surgery, maxillofacial surgery, and pediatric otolaryngology.
Pneumorrhachis is defined as the presence of air in the epidural space or subarachnoid space. The air may migrate along fascial planes from the posterior mediastinum, through the neural foramina, and into the epidural space. Pneumorrhachi
Pneumomediastinum has been associated with a variety of underlying lung diseases including asthma, bronchiectasis, chronic obstructive pulmonary disease, and ILD5. As well as such diseases, numerous precipitating factors exist, such as vomiting, coughing, asthma exacerbation, and exercise. Among patients with CTD, dermatomyositis (DM) or amyopathic DM is most frequently complicated by pneumomediastinum6. However, it is rare in patients with SSc, with only 3 such cases reported in the English-language literature1,2,3. All 3 patients had ILD as an underlying disease. As precipitating factors, 1 patient developed pneumomediastinum after undergoing lung function tests, but the others had no obvious cause. Our patient had ILD as an underlying disease, but she had no precipitating factors.. PCI is associated with a wide variety of medical conditions. In patients with SSc, intestinal hypomotility leads to bacterial overgrowth and bowel distension, which could elevate the intraluminal pressure and force ...
They also said that she has subcutaneous emphysema which is when some of the air leaks out of the chest tube and gets stuck between the muscles. For her it is in between the muscles behind her shoulder and in her left side under her arm. This too is really painful and can move around a bit from the incision/lung site so this could explain a lot of what Tam is experiencing in her chest as well. In addition we were told that they saw some apical scaring on the lung and that there was still a small pneumothorax present after the chest tube was removed in addition to a UTI because of being repeatedly straight-cathed last week after the surgery. They are hoping that the small pneumothorax and the subcutaneous emphysema heals on its own in time and she is receiving high strength IV meds for the UTI. We are being told that some of this is common (finally) and can be happen with chest tubes, so they are hoping it resolves itself. We just really need to get the inflammation and the painful subcutaneous ...
​I was diving over the weekend, doing three dives each day, finishing about noon on Sunday. I had some trouble clearing on both days, and on the last dive I had a reverse squeeze. I can hear just fine and I dont have any pain, but on the side of my neck I have several little bubbles that I can press on but which are not painful. Have you ever heard of this? ​Air bubbles dont normally exist unde...
she is still on the brink. i havent walked out to see her this morning but she was with us last night. i returned her calf, Jocelyn, to her and am administering a couple of medicines (antibiotics and pain relief) around the clock. she has been experiencing some of the serious complications i mentioned, specifically subcutaneous emphysema (air trapped under her skin) all along the left side of her body where she was pierced. the concern is that this air is from her rumen and includes bacteria from it. the resulting infection, peritonitis, would most likely be fatal ...
Last night, I spent about 6.5 hours in the ER hanging out. Pretty much the whole time was spent working on a cat that had a history of jumping out of its owners arms and down 8 steps and then landing a little funny. Radiographs showed pneumomediastinum (air in the middle compartment of the chest in which the heart, esopahgus, trachea, lymph nodes and large blood vessels live) and pneumoretroperitoneum (air in the space surrounding the abdomen, the kidneys are located in the retroperitoneum). They also suspected pneumothorax (air in the chest, around the lungs, this is different from pneumomediastinum which means air only in the middle compartment, not around the lungs). We did end up finding pneumothorax so a chest tube was put in and attached to a vacuum to pull air out. Unfortunately, it was a continuous pneumothorax, meaning that although we were pulling air out, air was getting in through somewhere. A CT scan was run however that was inconclusive. However, they are suspecting a tracheal ...
A 31-year-old man, with no significant medical history, developed sudden onset central chest pain radiating across the upper chest wall and into the neck following sternutation (sneezing). There had been a preceding history of cocaine abuse by insufflation. On clinical examination, there was ulcerated nasal septum, palpable crepitus in the supraclavicular fossae, normal heart sounds and equal air entry to both lungs on auscultation.. His chest radiograph demonstrated bilateral supraclavicular surgical emphysema and pneumomediastinum (figure 1 … ...