Management of extensive surgical emphysema with subcutaneous drain: A case report

Abstract

HighlightsSubcutaneous emphysema usually follows a benign course, in severe cases it can be debilitating and often requires intervention.Subcutaneous emphysema managed with large-bore drain, maintained on low suction.Simple, safe option with sustained decompression of subcutaneous emphysema.

Iatrogenic Pneumothorax with Subsequent Subcutaneous Emphysema

“…Because of the typical benign course of subcutaneous emphysema, patients are typically observed for any cardiopulmonary compromise and conservatively managed. If intervention is necessary, infraclavicular "blow hole" incisions and placement of fenestrated subcutaneous catheters have been described as safe and effective in evacuating air and relieving pressure [10].…”

Neonate with annular erythema on his face and scalp at birth

“…It is usually a self-limiting condition but can be severe or even life threatening if extensive due to restriction of thoracic expansion by a large volume of air in the subcutaneous tissue. 1,4 This infant had no respiratory compromise and was managed conservatively.…”

What lies beneath

“…It presents as a swelling and crepitation on palpation, which is often compared to the feeling of ‘bubble wrap under the skin’. It is usually a self‐limiting condition but can be severe or even life threatening if extensive due to restriction of thoracic expansion by a large volume of air in the subcutaneous tissue . This infant had no respiratory compromise and was managed conservatively.…”