scholarly journals Case report: Postpartum pneumomediastinum and subcutaneous emphysema

2018 ◽  
Vol 12 (3) ◽  
pp. 143-145
Author(s):  
AD Jakes ◽  
K Kunde ◽  
A Banerjee
Keyword(s):  
Computed Tomography ◽  
Case Report ◽  
Subcutaneous Emphysema ◽  
Oxygen Therapy ◽  
Rare Complication ◽  
Supplemental Oxygen ◽  
Second Stage ◽  
Second Stage Of Labour ◽  
Nasal Flow ◽  
Repeat Imaging

Postpartum pneumomediastinum is a rare complication of labour and delivery, where air leaks into the mediastinum following rupture of marginal alveoli. It follows prolonged and forceful Valsalva manoeuvres that increase intra-thoracic pressure. Subcutaneous emphysema may also develop. A chest radiograph can confirm the diagnosis, however a computed tomography thorax maybe required. Treatment is conservative as it is usually self-limiting. We present a case of postpartum pneumomediastinum following a delay in the second stage of labour and subsequent instrumental delivery. She developed chest pain and dyspnea 40 min post-delivery, and subcutaneous emphysema was palpable. Supplementary nasal flow oxygen was administered for 24 h prior to discharge. There is sparse evidence or guidance as to the management of postpartum pneumomediastinum, but consensus appears to be supplemental oxygen for 24 h. More data are needed on the type and duration of oxygen therapy, need for repeat imaging and management of subsequent pregnancies.

scholarly journals An Unexpected Case of Intrapartum Pneumomediastinum

2019 ◽  
Vol 2019 ◽  
pp. 1-4
Author(s):  
Drishti Madhok ◽  
Vinayak Smith ◽  
Erik Gunderson
Keyword(s):  
Nitrous Oxide ◽  
Subcutaneous Emphysema ◽  
Valsalva Maneuver ◽  
Rare Complication ◽  
Healthy Woman ◽  
Second Stage ◽  
Spontaneous Pneumomediastinum ◽  
Second Stage Of Labour

The dyad of spontaneous pneumomediastinum and subcutaneous emphysema is collectively known as Hamman’s syndrome. This rare complication is known to occur during the intrapartum period and its aetiology has been linked to the Valsalva maneuver in the second stage of labour. Nitrous oxide inhalation increases the risk. We present the case of a 21-year-old healthy woman who experienced these symptoms after nitrous oxide inhalation during the second stage of labour.

scholarly journals Hamman’s syndrome: spontaneous pneumomediastinum and subcutaneous emphysema during second stage of labour

2017 ◽  
Vol 6 (6) ◽  
pp. 2622
Author(s):  
Ying Yiing Lou
Keyword(s):  
Subcutaneous Emphysema ◽  
Early Recognition ◽  
Rare Complication ◽  
Anterior Chest Wall ◽  
Second Stage ◽  
Second Stage Of Labour ◽  
Chest X Ray ◽  
Surgical Emphysema ◽  
Future Pregnancy ◽  
Limiting Condition

Subcutaneous emphysema with pneumomediastinum in labour is also known as Hamman's Syndrome. Maternal pneumomediastinum associated with subcutaneous emphysema is a rare complication of pregnancy. The incidence rate being between 1:2000 and 1:10,000. Pneumomediastinum occurs most frequently in the second stage of labour in a healthy primiparous women with prolonged labour. A 29-year-old primigravida, who had no relevant medical history, had an uneventful spontaneous vaginal delivery at term. She used Entonox as analgesia in labour. She developed facial and neck oedema associated with mild breathing discomfort towards the end of her second stage. Crepitus was felt in her cheek, neck and anterior chest wall. Observations were stable including oxygen saturation. Chest X-ray demonstrated gross and extensive surgical emphysema across the chest and up into the neck and with no evidence of pneumothorax. She was managed conservatively and the subcutaneous emphysema was found to have considerably better within 24 hours. She recovered uneventfully and was discharged within 3 days of admission. A future pregnancy is planned. Hamman’s syndrome is generally a self-limiting condition. The key to successful management is early recognition followed by appropriate measures to prevent further complications in order to reduce the morbidity and mortality associated with this condition. Supportive measures alone may be the only requirement for resolution. Recurrence of the condition is rare but the appropriate management of subsequent pregnancies is unclear. Our case was appropriately managed with multidisciplinary input in the HDU on labour ward.

scholarly journals Subcutaneous Emphysema Secondary to Tonsillectomy

2015 ◽  
Vol 7 (2) ◽  
pp. 78-80
Author(s):  
Vivek Sasindran ◽  
Vijay Stephen ◽  
Lakshana Deve
Keyword(s):  
Case Report ◽  
Surgical Procedures ◽  
Subcutaneous Emphysema ◽  
Subcutaneous Tissue ◽  
Rare Complication ◽  
Tension Pneumothorax ◽  
Tonsillar Fossa ◽  
Superior Constrictor ◽  
History Of ◽  
Fatal Complications

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.

scholarly journals A Case Report of Acute Airway Compromise due to Subcutaneous Emphysema

2018 ◽  
Vol 2018 ◽  
pp. 1-5 ◽  
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.

scholarly journals Computed tomography-guided tube thoracostomy for massive subcutaneous emphysema following lung resection: a case report

2019 ◽  
Vol 3 ◽  
pp. 11-11
Author(s):  
Toshinari Ema ◽  
Hiroshi Neyatani ◽  
Saki Yamamoto ◽  
Shuhei Iizuka ◽  
Kazuhito Funai ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Case Report ◽  
Subcutaneous Emphysema ◽  
Lung Resection ◽  
Tube Thoracostomy

Pneumoparotitis: A New Diagnostic Technique and a Case Report

1998 ◽  
Vol 107 (4) ◽  
pp. 356-358 ◽  
Author(s):  
Ólafur Gudlaugsson ◽  
Árni Jón Geirsson ◽  
Kolbrún Benediktsdóttir
Keyword(s):  
Computed Tomography ◽  
Case Report ◽  
Oral Cavity ◽  
Parotid Gland ◽  
Subcutaneous Emphysema ◽  
Diagnostic Technique ◽  
New Method ◽  
Computed Tomography Scan ◽  
Open Biopsy ◽  
Tomography Scan

Pneumoparotitis is a rare cause of parotid gland swelling. We report a case of self-induced pneumoparotitis that resulted in subcutaneous emphysema and pneumomediastinum after an open biopsy of the parotid gland. We suggest a new method for diagnosing this condition. This is done by insufflation of the cheeks with contrast in the oral cavity. A reflux of air and contrast is subsequently demonstrated by a computed tomography scan of the area.

Grisel's syndrome: a rare complication of tonsillectomy

2012 ◽  
Vol 126 (5) ◽  
pp. 529-531 ◽  
Author(s):  
K J Sia ◽  
I P Tang ◽  
C K L Kong ◽  
A Nasriah
Keyword(s):  
Computed Tomography ◽  
Treatment Outcome ◽  
Case Report ◽  
Rare Complication ◽  
Radiological Findings ◽  
The Third ◽  
Grisel’S Syndrome ◽  
Computed Tomography Scans ◽  
Cervical Traction

AbstractObjectives:To discuss the pathophysiology of atlanto-axial subluxation as a rare complication of tonsillectomy, and to discuss the important radiological findings for diagnosis and treatment planning.Case report:We report a case of post-tonsillectomy atlanto-axial subluxation, also known as Grisel's syndrome, in a child. On the third day after surgery, the boy presented with torticollis with no neurological deficit. Rotatory atlanto-axial subluxation was clearly shown in computed tomography scans of the neck. Cervical traction for one week successfully reduced the subluxation, with no long-term sequelae.Conclusion:Pre-existing cervical ligamentous laxity and post-operative infection are believed to be the main causes of Grisel's syndrome. Although it is rare, patients are advised to seek treatment early if any neck pain or fever persists. Early diagnosis is important for better treatment outcome. Initial conservative measures are advised before more invasive cervical traction is adopted.

scholarly journals A case report of pyomyoma: radiological diagnosis of a potentially fatal complication of uterine leiomyoma.

2020 ◽  
Vol 7 (2) ◽  
Author(s):  
Mubarak MY ◽  
Noordini MD
Keyword(s):  
Computed Tomography ◽  
Case Report ◽  
Literature Review ◽  
Uterine Rupture ◽  
Uterine Leiomyoma ◽  
Rare Complication ◽  
Radiological Diagnosis ◽  
Fatal Complication ◽  
Adjacent Structures ◽  
The Subject

Pyomyoma (suppurative leiomyoma) is a rare complication of uterine leiomyoma. It results from infarction and infection of a leiomyoma. It may lead to diagnostic and therapeutic difficulties with potential complications such as bacteraemia, uterine rupture, compressive effect to adjacent structures and even death. We report a case of pyomyoma based on the Ultrasound (US) and Computed Tomography (CT) findings and literature review on the subject.

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.

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