Diffuse Subcutaneous Emphysema and Pneumomediastinum Secondary to a Minor Blunt Chest Trauma.

Storz, Maximilian Andreas; Heymann, Eric Pieter; Exadaktylos, Aristomenis (2017). Diffuse Subcutaneous Emphysema and Pneumomediastinum Secondary to a Minor Blunt Chest Trauma. Case reports in emergency medicine, 2017, p. 7589057. Hindawi Publishing Corporation 10.1155/2017/7589057

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Full medical evaluation is paramount for all trauma patients. Minor traumas are often overlooked, as they are thought to bear low injury potential. In this case report, we describe the case of a 48-year-old man presenting to our Emergency Department with mild to moderate right-sided shoulder and scapular pain following a fall from his own height ten days previously. Clinical and paraclinical investigations (CT) revealed diffuse right shoulder pain, with crepitations on palpation of the neck, right shoulder, and right lateral chest wall. Computed tomography (CT) demonstrated right-sided costal fractures (ribs 7 to 9), with diffuse subcutaneous emphysema and pneumomediastinum due to laceration of the visceral and parietal pleura and the adjacent lung parenchyma. In addition, a small ipsilateral pneumothorax was found. Surprisingly, the clinical status was only minimally affected by mild to moderate pain and minor functional impairment.

Item Type:

Journal Article (Further Contribution)

Division/Institute:

04 Faculty of Medicine > Department of Intensive Care, Emergency Medicine and Anaesthesiology (DINA) > University Emergency Center

UniBE Contributor:

Heymann, Eric Pieter and Exadaktylos, Aristomenis

Subjects:

600 Technology > 610 Medicine & health

ISSN:

2090-648X

Publisher:

Hindawi Publishing Corporation

Language:

English

Submitter:

Jacques Donzé

Date Deposited:

26 Mar 2018 13:47

Last Modified:

01 Apr 2018 02:23

Publisher DOI:

10.1155/2017/7589057

PubMed ID:

28392950

BORIS DOI:

10.7892/boris.110680

URI:

https://boris.unibe.ch/id/eprint/110680

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