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Clinical Medical
Image Library
ISSN: 2474-3682
IMAGE ARTICLE | VOLUME 2, ISSUE 1 | OPEN ACCESS DOI: 10.23937/2474-3682/1510022

Pneumothorax and Subcutaneous Emphysema. When Assessing Chest Tube Placement

Ana Patricia Ovejero Díaz , Gemma María Muñoz Molina and Ana Paz Valdebenito Montecino

Department of Thoracic Surgery, Hospital Ramón y Cajal, Spain

*Corresponding author: Ana Patricia Ovejero Díaz, Degree in Medicine and Surgery, Department of Thoracic Surgery, MIR, Hospital Ramón y Cajal, Carretera Colmenar Viejo km 9100, 28034, Spain, Tel: 687653885, E-mail: futmed@hotmail.com

Published: January 08, 2016

Citation: Díaz APO, Molina GMM, Montecino APV (2016) Pneumothorax and Subcutaneous Emphysema. When Assessing Chest Tube Placement. Clin Med Img Lib 2:022. doi.org/10.23937/2474-3682/1510022

Copyright: © 2016 Díaz APO, et al. This is an open-access content distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

Key words


Pneumothorax, Subcutaneous emphysema, Chest tube

Subcutaneous emphysema occurs when air gets into tissues under the skin. It occurs mainly in the neck, chest and face when air travel to these areas of the chest cavity through the fascia. Introducing the chest radiograph of a 73 year old male diagnosed with chronic pericardial effusion mass, intervened on a scheduled basis for pericardial window, and in the immediate postoperative period presents important in left chest subcutaneous emphysema associated with desaturation and tachycardia. Suspecting possible pneumothorax that can not be clearly distinguished in the test image, and the likely need for intubation to the serious clinical condition, chest tube placement, which successfully produces clinical improvement and patient decide. The main causes that we suspected in a subcutaneous emphysema are pneumothorax, broken tree traqueobronquial [1], esophageal rupture, necrotizing infections and dental procedures using air comprimido [2] elements, and to the possible need for applying positive pressure to the patient, as in this case , we will place a chest tube though not clearly distinguish the camera radiographic pneumothorax.

 

Figure 1: Pneumothorax and subcutaneous emphysema

References


  1. P Vila Caral, R Castillo Omedas, C Llubiá Maristany (2010) Tracheal laceration during intubation with a Frova introduce. Revista Española de Anestesiología y Reanimación 57: 599-602.

  2. Rodríguez-Arrondo Franciscoa, Arévalo Sarab, Camino Xaviera, Wichmanna Miguel Ángela (2003) Neumonía necrosante comunitaria asociada a bacteriemia y focos sépticos metastásico. Enfermedades infecciosas y microbiología clínica 21: 211-213.