Pediatric Surgical ImageMassive subcutaneous emphysema, pneumomediastinum, and pneumopericardium in children
Section snippets
Case report
A 10-year-old female was referred to our service for resection of an abdominal tumor in the setting of multiple systemic and constitutional symptoms. She initially presented with a 7-month history of shortness of breath and malaise. On initial physical examination, there was a Cushingoid appearance, ulceration of the buccal mucosa, blistering of the lips, respiratory crackles, and of the fingernails. Chest x-ray showed bilateral hyperinflation of her lungs. Computed tomographic (CT) angiography
Discussion
Subcutaneous emphysema associated with PM and PP is a rare condition in pediatric medicine. There is a peak of incidence within the first 3 to 4 years of life because of respiratory tract infections. The incidence has been reported to be variable, around 1 in 20,000 patients presenting to the emergency department with an asthma attack. Obstructive pulmonary disease is associated with SE in 35% of the cases.
These disorders can be classified as acquired or spontaneous. Acquired SE is the direct
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Cited by (15)
Management of extensive subcutaneous emphysema using vacuum-assisted closure therapy
2019, Journal of Pediatric Surgery Case ReportsCitation Excerpt :Subcutaneous emphysema, pneumomediastinum, and pneumopericardium, are a spectrum of disorders delineated by abnormal existence of air in the correspondent anatomical location. They are rare in children [1]. The reported incidence of spontaneous pneumomediastinum in the literature was 0.0025% among emergency department visits [2].
37 - Respiratory Complications of Intensive Care
2019, Kendig's Disorders of the Respiratory Tract in ChildrenPneumothorax, pneumomediastinum, and pulmonary embolism
2010, Pediatric Clinics of North AmericaCitation Excerpt :Whereas its true incidence is unknown, it has been reported in an estimated 1 per 14,000 individuals between 14 and 29 years of age.51 The incidence has a bimodal peak, occurring more frequently in children between 6 months and 3 to 4 years of age and in adolescents,48,51,53 and in 1 per 20,000 patients presenting to emergency departments with exacerbations of asthma.53 Tall, thin adolescent boys are more commonly affected.51
Nontraumatic tension pneumopericardium in nonventilated pediatric patients: a review
2019, Journal of Cardiac SurgeryAir in All the Wrong Places
2017, Pediatric Emergency CareGross and microscopic features of extensive subcutaneous emphysema
2016, Forensic Science, Medicine, and Pathology