MyMedR

Fulltext A case of surgical emphysema

Wilson F

Ind Med Gaz, 1927 Jun;62(6):355-356.

PMID: 29010578

Matched MeSH terms: Pulmonary Emphysema*

Spontaneous pneumomediastinum

Khoo CS, Ab Rahman SS

Med J Aust, 2017 11 20;207(10):421.

PMID: 29129168

Matched MeSH terms: Mediastinal Emphysema/etiology; Mediastinal Emphysema/therapy; Subcutaneous Emphysema/etiology; Subcutaneous Emphysema/therapy

A case of primary tuberculosis

MOSTYN EM

Med J Malaya, 1958 Mar;12(3):546-9.

PMID: 13565026

Matched MeSH terms: Emphysema*; Pulmonary Emphysema*

Fulltext Postpartum pneumomediastinum

Norzilawati MN, Shuhaila A, Zainul Rashid MR

Singapore Med J, 2007 Jun;48(6):e174-6.

PMID: 17538741

A 21-year-old primigravida with previous history of pulmonary tuberculosis had a normal but assisted vaginal delivery after a prolonged second stage. Within 12 hours, she complained of dyspnoea and was found to have abnormal neck and anterior chest wall swelling. A diagnosis of subcutaneous emphysema was made and this was confirmed with the chest radiograph, which also revealed pneumomediastinum. She recovered well within four days with conservative treatment.

Matched MeSH terms: Mediastinal Emphysema/complications; Mediastinal Emphysema/etiology*; Mediastinal Emphysema/radiography; Subcutaneous Emphysema/etiology*; Subcutaneous Emphysema/radiography

Subcutaneous emphysema and pneumomediastinum after endotracheal anaesthesia

Chiu CL, Ong GS

Ann Acad Med Singap, 2000 Mar;29(2):256-8.

PMID: 10895351

INTRODUCTION: We report a case of subcutaneous emphysema and pneumomediastinum that presented postoperatively after tracheal extubation.

CLINICAL PICTURE: A 51-year-old man had an uneventful anaesthesia lasting about 6.5 hours. Intubation was performed by a very junior medical officer and was considered difficult. He developed sore throat, chest pain, numbness of both hands and palpable crepitus around the neck postoperatively. Chest X-ray revealed diffuse subcutaneous emphysema, pneumomediastinum and possible pneumopericardium.

TREATMENT: He was treated conservatively with bed rest, oxygen, analgesia, antibiotic prophylaxis, reassurance and close monitoring.

OUTCOME: The patient made an uneventful recovery.

CONCLUSIONS: We discussed the possible causes.

Matched MeSH terms: Mediastinal Emphysema/diagnosis; Mediastinal Emphysema/etiology*; Mediastinal Emphysema/therapy; Subcutaneous Emphysema/diagnosis; Subcutaneous Emphysema/etiology*; Subcutaneous Emphysema/therapy

Fulltext Acute breathlessness--a case study of a chronic smoker with marijuana addiction

Khajotia R, Somaweera N

Aust Fam Physician, 2013 Aug;42(8):560-2.

PMID: 23971064

Matched MeSH terms: Pulmonary Emphysema/etiology; Pulmonary Emphysema/radiography*

An unusual cause of chest pain in army trainee - spontaneous pneumomediastinum

Lee SS

Med J Malaysia, 2016 02;71(1):30-1.

PMID: 27130742

This is a case report of spontaneous pneumomediastinum that occurred in a 19-year-old army trainee during his 2.4km run. Spontaneous pneumomediastinum is a rare disorder. It is usually precipitated by activities related to Valsalva manoeuvres such as strenuous physical activities, retching and vomiting. Treatment is expectant and the disorder usually resolves spontaneously within a few days. However, one must be aware of the disorder so that additional advice such as avoiding activities that involve Valsalva manoeuvres can be given.

Matched MeSH terms: Mediastinal Emphysema/complications*; Mediastinal Emphysema/diagnosis

Congenital lobar emphysema: a case with bronchial septum

Saim L, Mohamad AS, Ambu VK

Int J Pediatr Otorhinolaryngol, 1994 Jan;28(2-3):241-6.

PMID: 8157425

Congenital lobar emphysema has been described under various designations. Although the etiology is not clear, some form of bronchial obstruction has been documented in about 50% of the patients. A rare case of congenital lobar emphysema with a membranous septum in the left main bronchus is described. Although prompt lobectomy has been the treatment of choice in most cases, this case demonstrates the importance of early bronchoscopy to exclude treatable intra luminal abnormalities.

Matched MeSH terms: Pulmonary Emphysema/congenital*; Pulmonary Emphysema/etiology

Emphysema I: a five year clinical study in Malaysian patients

Menon MA, Vaterlaws AL, Cheok T

Med J Malaysia, 1979 Jun;33(4):299-303.

PMID: 522740

Matched MeSH terms: Emphysema/diagnosis*; Emphysema/epidemiology

Fulltext Contemporary surgical management of advanced end stage emphysema: an evidence based review

Sachithanandan A, Badmanaban B

Med J Malaysia, 2012 Jun;67(3):253-8.

PMID: 23082412 MyJurnal

Emphysema is a progressive unrelenting component of chronic obstructive pulmonary disease and a major source of mortality and morbidity globally. The prevalence of moderate to severe emphysema is approximately 5% in Malaysia and likely to increase in the future. Hence advanced emphysema will emerge as a leading cause of hospital admission and a major consumer of healthcare resources in this country in the future. Patients with advanced disease have a poor quality of life and reduced survival. Medical therapy has been largely ineffective for many patients however certain subgroups have disease amenable to surgical palliation. Effective surgical therapies include lung volume reduction surgery, lung transplantation and bullectomy. This article is a comprehensive evidence based review of the literature evaluating the rationale, efficacy, safety and limitations of surgery for advanced emphysema highlighting the importance of meticulous patient selection and local factors relevant to Malaysia.

Matched MeSH terms: Pulmonary Emphysema/surgery*

Empyema thoracis complicated by pneumothorax necessitans manifesting as lobulated, localized subcutaneous emphysematous swellings

Kuan YC, How SH, Yeen WC, Ng TH, Fauzi AR

Ann Thorac Surg, 2011 Jun;91(6):1969-71.

PMID: 21619994 DOI: 10.1016/j.athoracsur.2010.11.075

We describe a patient with empyema thoracis that had eroded through the apical chest wall to the supraclavicular fossa and lung parenchyma, ultimately leading to a bronchopleural fistula manifesting as lobulated, localized subcutaneous emphysematous swellings over the chest wall and supraclavicular fossa. This is a rarely reported phenomenon and the reason why the lobulated subcutaneous emphysematous swellings remained localized is unknown.

Matched MeSH terms: Subcutaneous Emphysema/etiology*

Emphysema II: the role of alpha-1-antitrypsin deficiency in Malaysian patients

Menon MA, Vaterlaws AL, Cheok T

Med J Malaysia, 1979 Jun;33(4):304-6.

PMID: 316497

Matched MeSH terms: Emphysema/enzymology*

Fulltext Massive subcutaneous emphysema after a blunt neck injury

Mohamad, I., Md Shukri, N., Fauzi, M.H., Abdul Karim, A.H., Nik Hassan, N.F.H.

Malaysian Journal of Emergency Medicine, 2017;2(1):16-20.

MyJurnal

Subcutaneous emphysema can occur after a breach to the air-containing space. The classical condition will be ruptured alveolus in chronic lung disease. A disruption of the upper airway such as trauma to the laryngotracheal framework may lead to similar presentation. The amount of air leak varies depending on site and size of the breach. We report a case of blunt neck trauma after a fall from bicycle, which ended with massive subcutaneous emphysema, pneumothorax and pneumomediastinum requiring intubation.

Matched MeSH terms: Mediastinal Emphysema; Subcutaneous Emphysema

Fulltext Periorbital oedema after dental extraction: a case study

Lim JL

Aust Fam Physician, 2014 Aug;43(8):543-4.

PMID: 25114991

Keywords: Dental extraction; Periorbital oedema; Quiz

Matched MeSH terms: Subcutaneous Emphysema/diagnosis*; Subcutaneous Emphysema/etiology*; Subcutaneous Emphysema/therapy

Fulltext Emphysematous aortitis: report of two cases and CT imaging findings

Md Noh MSF, Abdul Rashid AM, Ar A, B N, Mohammed Y, A R E

BJR Case Rep, 2017;3(3):20170006.

PMID: 30363220 DOI: 10.1259/bjrcr.20170006

Emphysematous aortitis is a rare condition that manifests through the presence of air within or surrounding the inflamed aorta. Aortic inflammation may result from either an infective or a non-infective cause. Recognition of this rare condition is important as the resultant clinical deterioration may be rapid and lead to inevitable death. Cross-sectional imaging, with its relatively wide availability, proves an important tool in the diagnosis and subsequent management of this condition. We report two such cases encountered in our centre, with particular focus on the imaging findings on CT.

Matched MeSH terms: Emphysema

Fulltext The Macklin effect--pneumomediastinum and pneumopericardium following blunt chest trauma

Baharudin A, Sayuti RM, Shahid H

Med J Malaysia, 2006 Aug;61(3):371-3.

PMID: 17240595

Pneumomediastinum and pneumopericardium following blunt chest trauma are rare. Diagnosis is by chest radiograph and CT Scan. They have to be identified and treated accordingly. Usually, pneumomediastinum and pneumopericardium are self-limiting requiring no specific therapy. However, vigilance and a continuous monitoring of the vital signs are necessary.

Matched MeSH terms: Mediastinal Emphysema/etiology*

Emphysematous pyelonephritis: drainage or nephrectomy?

Koh KB, Lam HS, Lee SH

Br J Urol, 1993 May;71(5):609-11.

PMID: 8518872

Four cases of emphysematous pyelonephritis are reported and the pathogenesis, surgical implications and preferred mode of management are discussed. We have not found percutaneous drainage to be useful, but feel there is an important place for surgical drainage alone because of the potential for renal recovery and the risks of emergency nephrectomy.

Matched MeSH terms: Emphysema/surgery*

Fulltext Facial subcutaneous emphysema as a rare complication of tonsillectomy

Mark Paul, Najihah Hanim Asmi, Rohaida Ibrahim, Eshamsol Kamar Omar, Irfan Mohamad

International Medical Journal Malaysia, 2017;16(2):121-124.

MyJurnal

Tonsillectomy is a very common procedure in Otolaryngology practice. Common complications include
bleeding, which can be primary or secondary due to infection of the tonsillar bed. Subcutaneous emphysema
after a tonsillectomy is very rare. We report a 19-year-old girl who developed cervicofacial subcutaneous
emphysema several hours after tonsillectomy with successful conservative treatment outcome.

Matched MeSH terms: Subcutaneous Emphysema

Pneumatocoele in a neonate with perinatal tuberculosis

Rohana J, Lau DS, Hasniah AL, Faizah MZ, Boo NY, Shareena I

Arch. Dis. Child. Fetal Neonatal Ed., 2013 Mar;98(2):F121.

PMID: 22581791 DOI: 10.1136/fetalneonatal-2012-301672

Matched MeSH terms: Pulmonary Emphysema/etiology*; Pulmonary Emphysema/radiography

A case of cough induced rib fracture with subcutaneous emphysema and pneumothorax

Shukri WNA, Ng VH, Ismail AK

Med J Malaysia, 2019 12;74(6):551-552.

PMID: 31929488

Coughing is an important reflex mechanism which enhances the clearance of secretions and particulates from the airways, however repetitive muscle strain due to prolonged coughing may cause the uncommon complication of stress fracture of the ribs. The following is an unusual case of cough induced multiple rib fractures associated with subcutaneous emphysema and pneumothorax which was missed in the emergency setting. Delayed diagnosis and treatment would have been avoided if this uncommon condition was considered as a possibility.

Matched MeSH terms: Subcutaneous Emphysema/diagnosis; Subcutaneous Emphysema/etiology*

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