Pneumoscrotum as the Presenting Symptom of Pneumothorax and Pneumoperitoneum after Jet Ventilation

Wilson, Colin; Green, Adam; Bader, Stephen O.; Graf, David F.

doi:10.1097/aln.0b013e31824f9539

Cited by 6 publications

(3 citation statements)

References 3 publications

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“…As shown in the literature, pneumoscrotum did not immediately develop in iatrogenic or traumatic causes and was only noted after various time points. [23456789101112131415] In our patient case, the continuous chest compressions likely exacerbated the air tracking, leading to the more rapid development compared to the literature cases.…”

Section: Discussionmentioning

confidence: 69%

“…Of these etiologies, the true incidence of pneumoscrotum secondary to blunt thoracic trauma and tension pneumothorax is unknown due to the scarcity of literature on the specific topic, and on our review, there are only a handful of reported cases of pneumoscrotum overall in the English literature. [12345678910111213141516] Given the precedence for this pathophysiology and the life-threatening etiologies, such as pneumoperitoneum or pneumothorax, the importance of finding a cause for a pneumoscrotum in the setting of trauma should not be overlooked. As we witnessed, this finding can lead to earlier diagnosis, but more importantly, timely, life-saving intervention.…”

Section: Introductionmentioning

confidence: 99%

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Pneumoscrotum: Value as an early diagnostic sign of tension pneumothorax in blunt thoracic trauma

Humayun

Chai

Pontell

et al. 2018

Int J Crit Illn Inj Sci

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Pneumoscrotum is a rare complication that can result from various etiologies and can be essential in the diagnosis of those causative factors, especially life-threatening ones such as infection or trauma. We present here a case of a patient who presented in posttraumatic cardiac arrest and an extensive, grossly obvious, and rapidly expanding pneumoscrotum. Based on our patient's clinical presentation and a history of a high-speed mechanism with obvious torso trauma, a diagnosis of tension pneumothorax was quickly made resulting in immediate treatment. We review the existing literature and highlight the importance of pneumoscrotum in aiding with differential diagnosis. The presence of pneumoscrotum is often benign; however, in the right clinical setting, it can be an extremely important and useful clinical tool for the early identification and timely treatment of life-threatening diagnoses, such as tension pneumothorax.

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Section: Discussionmentioning

confidence: 69%

Section: Introductionmentioning

confidence: 99%

Pneumoscrotum: Value as an early diagnostic sign of tension pneumothorax in blunt thoracic trauma

Humayun

Chai

Pontell

et al. 2018

Int J Crit Illn Inj Sci

View full text Add to dashboard Cite

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“…Necrotizing enterocolitis is the most common gastrointestinal emergency and is the reason for 1%–8% of neonatal intensive care unit admissions; the mortality rate for this condition is between 20% and 40%. 9 The most consistent risk factors are prematurity, enteral feeding, hypoxia, and bacterial colonization. 10 …”

Section: Discussionmentioning

confidence: 99%

Pneumoscrotum: report of two different cases and review of the literature

Cochetti

Barillaro

Cottini

et al. 2015

TCRM

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Pneumoscrotum is the term used to describe the presence of air within the scrotum and includes scrotal emphysema as well as pneumatocele. The etiology varies; in some cases, pneumoscrotum may be due to life-threatening disease like pneumothorax or Fournier gangrene. Despite this, pneumoscrotum is a rarely debated issue. We present two different cases of pneumoscrotum and a review of the literature. The first case report is about a 29 year old male patient affected by Duchenne syndrome who showed pneumoscrotum after cardiopulmonary resuscitation that was performed for asphyxic crisis and cardiovascular arrest. We carried out local puncture with an 18-gauge needle, and the pneumoscrotum was successfully solved. The second case report is about a 56 year old male with pneumoscrotum due to Fournier gangrene who underwent radical exeresis of all necrotic tissues and drainage. This is why most of the scrotal skin and all of the penis skin were removed; as a result, the testicles, epididymis, and cavernosa corpora were externalized. On postoperative day one, the patient was feverless and underwent hyperbaric chamber therapy. No postoperative complications occurred. Accurate evaluation of the pneumoscrotum is always needed. Despite the benign course of most of the clinically evident pneumoscrotum cases, this condition should never be underestimated.

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Pneumoscrotum after tracheal intubation

Lostoridis

Tourountzi

Pouggouras

et al. 2015

Acta Anaesthesiologica Taiwanica

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Air in the scrotum is an unusual clinical finding and a thorough search should be done in order to locate the air leak or source of gas production. We report an 81-year-old patient who developed severe acute respiratory failure after fiberoptic bronchoscopy and was intubated immediately. After tracheal intubation, excessive subcutaneous emphysema from the head to the scrotum was obvious. Chest tube thoracostomies were placed to treat pneumothorax. The emphysema was absorbed after 13 days without any sequela. Air or gas inside the scrotum may originate from intraperitoneal, extraperitoneal, or local sources. The majority of the cases can be managed conservatively, but emergent intervention is needed in life-threatening situations.

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Pneumoscrotum as the Presenting Symptom of Pneumothorax and Pneumoperitoneum after Jet Ventilation

Cited by 6 publications

References 3 publications

Pneumoscrotum: Value as an early diagnostic sign of tension pneumothorax in blunt thoracic trauma

Pneumoscrotum: Value as an early diagnostic sign of tension pneumothorax in blunt thoracic trauma

Pneumoscrotum: report of two different cases and review of the literature

Pneumoscrotum after tracheal intubation

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