Carlota Gordaliza, Silvia de Miguel Manso, Rocío Gutiérrez Bustillo, Belén Sánchez Quirós, Rocío López Herrero
{"title":"#35945颈椎皮下肺气肿和纵隔气肿继发于穿透性创伤","authors":"Carlota Gordaliza, Silvia de Miguel Manso, Rocío Gutiérrez Bustillo, Belén Sánchez Quirós, Rocío López Herrero","doi":"10.1136/rapm-2023-esra.440","DOIUrl":null,"url":null,"abstract":"<h3></h3> <b>Please confirm that an ethics committee approval has been applied for or granted:</b> Not relevant (see information at the bottom of this page) <b>Application for ESRA Abstract Prizes:</b> I don’t wish to apply for the ESRA Prizes <h3>Background and Aims</h3> Subcutaneous emphysema (SE) is a finding of gas within the subcutaneous soft tissues, usually in the chest or neck. There are numerous causes for this phenomenon, including blunt and penetrating trauma, soft tissue infection, and surgical instrumentation. <h3>Methods</h3> We present the case of a 39-year-old man with cervical SE and pneumomediastinum after penetrating cervical trauma due to attempted suicide. A cervical-thoracic CT showed the presence of pneumomediastinum and significant cervical subcutaneous emphysema. As a preventive measure, the patient was admitted to the Resuscitation Unit to ensure the airway through orotracheal intubation. He was kept under sedation for 48 hours and broad-spectrum empirical antibiotic therapy was prescribed. After this time, the CT was repeated and, given the marked decrease in emphysema, the patient was extubated without incident. <h3>Results</h3> SE occurs when air becomes trapped under the skin. Air forced into the interstitial tissues around the pulmonary vasculature travels back toward the hilum, leading to pneumomediastinum, and this eventually spreads to the soft tissues of the neck, face, and chest wall. In our patient, penetrating trauma was the event that caused the entry of air into the tissues. In most cases, it does not involve airway compromise as subcutaneous air easily accommodates the distensible subcutaneous tissues and conservative treatment is adequate. Subcutaneous drainage or supraclavicular incisions are safe techniques with no reported complications (2). <h3>Conclusions</h3> SE is usually not necessarily dangerous, and conservative treatment is usually sufficient. However, on occasions like the case presented here, it can compromise the airway and require invasive therapeutic measures.","PeriodicalId":80519,"journal":{"name":"Archaeologia aeliana, or, Miscellaneous tracts relating to antiquity","volume":"29 1","pages":"0"},"PeriodicalIF":0.0000,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"#35945 Cervical subcutaneous emphysema and pneumomediastinum secondary to penetrating trauma\",\"authors\":\"Carlota Gordaliza, Silvia de Miguel Manso, Rocío Gutiérrez Bustillo, Belén Sánchez Quirós, Rocío López Herrero\",\"doi\":\"10.1136/rapm-2023-esra.440\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<h3></h3> <b>Please confirm that an ethics committee approval has been applied for or granted:</b> Not relevant (see information at the bottom of this page) <b>Application for ESRA Abstract Prizes:</b> I don’t wish to apply for the ESRA Prizes <h3>Background and Aims</h3> Subcutaneous emphysema (SE) is a finding of gas within the subcutaneous soft tissues, usually in the chest or neck. There are numerous causes for this phenomenon, including blunt and penetrating trauma, soft tissue infection, and surgical instrumentation. <h3>Methods</h3> We present the case of a 39-year-old man with cervical SE and pneumomediastinum after penetrating cervical trauma due to attempted suicide. A cervical-thoracic CT showed the presence of pneumomediastinum and significant cervical subcutaneous emphysema. As a preventive measure, the patient was admitted to the Resuscitation Unit to ensure the airway through orotracheal intubation. He was kept under sedation for 48 hours and broad-spectrum empirical antibiotic therapy was prescribed. After this time, the CT was repeated and, given the marked decrease in emphysema, the patient was extubated without incident. <h3>Results</h3> SE occurs when air becomes trapped under the skin. Air forced into the interstitial tissues around the pulmonary vasculature travels back toward the hilum, leading to pneumomediastinum, and this eventually spreads to the soft tissues of the neck, face, and chest wall. In our patient, penetrating trauma was the event that caused the entry of air into the tissues. In most cases, it does not involve airway compromise as subcutaneous air easily accommodates the distensible subcutaneous tissues and conservative treatment is adequate. Subcutaneous drainage or supraclavicular incisions are safe techniques with no reported complications (2). <h3>Conclusions</h3> SE is usually not necessarily dangerous, and conservative treatment is usually sufficient. However, on occasions like the case presented here, it can compromise the airway and require invasive therapeutic measures.\",\"PeriodicalId\":80519,\"journal\":{\"name\":\"Archaeologia aeliana, or, Miscellaneous tracts relating to antiquity\",\"volume\":\"29 1\",\"pages\":\"0\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2023-09-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Archaeologia aeliana, or, Miscellaneous tracts relating to antiquity\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.1136/rapm-2023-esra.440\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Archaeologia aeliana, or, Miscellaneous tracts relating to antiquity","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1136/rapm-2023-esra.440","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
#35945 Cervical subcutaneous emphysema and pneumomediastinum secondary to penetrating trauma
Please confirm that an ethics committee approval has been applied for or granted: Not relevant (see information at the bottom of this page) Application for ESRA Abstract Prizes: I don’t wish to apply for the ESRA Prizes
Background and Aims
Subcutaneous emphysema (SE) is a finding of gas within the subcutaneous soft tissues, usually in the chest or neck. There are numerous causes for this phenomenon, including blunt and penetrating trauma, soft tissue infection, and surgical instrumentation.
Methods
We present the case of a 39-year-old man with cervical SE and pneumomediastinum after penetrating cervical trauma due to attempted suicide. A cervical-thoracic CT showed the presence of pneumomediastinum and significant cervical subcutaneous emphysema. As a preventive measure, the patient was admitted to the Resuscitation Unit to ensure the airway through orotracheal intubation. He was kept under sedation for 48 hours and broad-spectrum empirical antibiotic therapy was prescribed. After this time, the CT was repeated and, given the marked decrease in emphysema, the patient was extubated without incident.
Results
SE occurs when air becomes trapped under the skin. Air forced into the interstitial tissues around the pulmonary vasculature travels back toward the hilum, leading to pneumomediastinum, and this eventually spreads to the soft tissues of the neck, face, and chest wall. In our patient, penetrating trauma was the event that caused the entry of air into the tissues. In most cases, it does not involve airway compromise as subcutaneous air easily accommodates the distensible subcutaneous tissues and conservative treatment is adequate. Subcutaneous drainage or supraclavicular incisions are safe techniques with no reported complications (2).
Conclusions
SE is usually not necessarily dangerous, and conservative treatment is usually sufficient. However, on occasions like the case presented here, it can compromise the airway and require invasive therapeutic measures.