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2018, Number 6

Rev Med Inst Mex Seguro Soc 2018; 56 (6)

Benign recurrent subcutaneous emphysema of the upper limbs in a teenager

Flores-Francoa RA, Baranda-Márquez MA, Salas-Solorio LA
Full text How to cite this article

Language: Spanish
References: 20
Page: 566-569
PDF size: 537.88 Kb.


Key words:

Subcutaneous Emphysema, Necrotizing Fascitis, Wounds and Injuries.

ABSTRACT

Introduction: The physiological properties of the interstitial subcutaneous tissue of the limbs could bring the abnormal distribution of air coming from superficial trauma of the skin. We present the case of a young woman who developed subcutaneous emphysema after a superficial trauma and discussed the differential diagnosis and treatment.
Clinical case: A teenager woman 13 years old had subcutaneous emphysema in the left arm, following the scratch produced by her cat, of two months of evolution, without signs suggestive of local or systemic infection, it was resolved spontaneously during the period of observation. During this period she also presented subcutaneous emphysema in the right arm as a complication of a peripheral venous access performed for the administration of parenteral solutions, in the same way, it resolved spontaneously within a few days.
Conclusion: benign subcutaneous emphysema is a rare clinical condition which should be considered only after the exclusion of other pathologies that require a more aggressive early medical intervention, such as necrotizing fasciitis, which, if not detected in a timely manner, could endanger life.


REFERENCES

  1. Storch JE, Rice J. The functional anatomy of the skin and is appendages. En: Storch JE, Rice J (Ed.). Reconstructive plastic surgical nursing: clinical management and wound care. Oxford, UK: Blackwell Publishing Ltd; 2005, p. 54.

  2. Mack JA, Woo SL, Haase SC. Noninfectious subcutaneous emphysema of the upper extremity. J Hand Surg Am. 2015; 40:1233-6.

  3. Stevenson J. Sucking wounds of the limbs. Injury 1995; 26(3):151-3.

  4. Tang WM, Ho PL, Fung KK, Yuen KY, Leong JC. Necrotising fasciitis of a limb. J Bone Joint Surg Br. 2001; 83(5):709-14.

  5. Hafez MA. Subcutaneous emphysema of the leg: could be a fatal condition. Open Journal of Clinical Diagnostics. 2012;2(3):56-8.

  6. Clavijo-Alvarez JA, Stofman G. Noninfectious subcutaneous emphysema of the upper extremity. Plast Reconstr Surg. 2009;123(4):154e-155e.

  7. Kemp FH. X Rays in diagnosis and localization of gasgangrene. The Lancet. 1945; 245(6342): 332-34.

  8. Driscoll P, Gunn RS, Douglas DL. Subcutaneous suction emphysema of the elbow. Injury. 1984; 16(2):134-5.

  9. De M, Stevenson J. Subcutaneous emphysema of upper limb. Emerg Med J. 2001; 18(6):522.

  10. Winshall JS, Weissman BN. Images in clinical medicine. Benign subcutaneous emphysema of the upper extremity. N Engl J Med. 2005; 352(13):1357.

  11. Fox A, Sheick H, Ekwobi C, Ho-Asioe M. Benign surgical emphysema of the hand and upper limb: gas is not always gangrene-a report of two cases. Emerg Med J. 2007;24(11): 798-9. 2

  12. Tiong WH, Butt FS. Subcutaneous emphysema of the upper extremity following penetrating blackthorn injury ot the wrist. J Plast Reconstr Aesthet Surg. 2009; 62(2):e29-32.

  13. Dexel J, Schneiders W, Kasten P. Subcutaneous emphysema of the upper extremity after elbow arthroscopy. Arthroscopy. 2011; 27(7): 1014-7.

  14. King ICC, McKinnell TH, Forrest IA, Rannan-Eliya SV. Non-infective bilateral upper limb subcutaneous emphysema following elbow trauma. Eur J Plast Surg. 2015;38(4):341-4.

  15. Fowler JR, Rerko MA, Grand AG. Benign subcutaneous emphysema of the upper extremity. Orthopedics. 2013; 36(11):e1458-60.

  16. Sudoh J, Oshima K, Yoshida Y, Amemiya T, Ozawa K. A case of spontaneous mediastinal emphysema developed by numbness of the left arm, dysphagia and chest pain. Kokyu To Junkan. 1992; 40(12):1227-30.

  17. Flores-Franco RA, Limas-Frescas NE. The overused airway: lessons from a young trumpet player. Med Probl Perform Art. 2010; 25(1):35-8.

  18. Lee YP, Lee JY. Recurrent factitious subcutaneous emphysema: report of a complex case in a young woman and a literature review. Kaohsiung J Med Sci. 2010; 26 (7):377-83.

  19. Sotoude H, Mozafari R, Mohebbi Z, Mirfazaelian H. Factitious subcutaneous emphysema in young woman. Rev. psiquiatr. clín. 2014; 41(1):27.

  20. Rabiul Islam SM, Mamman KG, Pande KC. Benign subcutaneous emphysema of the upper limb: a case report. Malays Orthop J. 2016; 10(3):39-41.




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Rev Med Inst Mex Seguro Soc. 2018;56