Traumatic Tension Pneumothorax with Extensive Subcutaneous Emphysema
Abstract
Tension pneumothorax (TPT) in trauma patients is an uncommon disorder caused by the progressive accumulation of air in the pleural cavity. In pre-hospital and emergencies, if it is not diagnosed and treated on time, it endangers the lives of patients. In this study, we report a patient who developed tension pneumothorax and extensive subcutaneous emphysema due to mild trauma and not going to the hospital in the early hours, which caused an anaphylactic appearance on the patient's face.
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[12] Tintinalli JE, Stapczynski JS, Ma O, Yealy D, Meckler G, Cline D. Tintinalli's Emergency Medicine: A Comprehensive Study Guide, 8e: McGraw Hill Education; 2016.
[13] Gentry Wilkerson R, Stone MB. Sensitivity of bedside ultrasound and supine anteroposterior chest radiographs for the identification of pneumothorax after blunt trauma. Acad Emerg Med. 2010; 17(1):11-7.
[14] Idris BM, Hefny AF. Large pneumothorax in blunt chest trauma: Is a chest drain always necessary in stable patients? A case report. Int J Surg Case Rep. 2016; 24:88-90.
[2] Tran J, Haussner W, Shah K. Traumatic Pneumothorax: A Review of Current Diagnostic Practices and Evolving Management. J Emerg Med. 2021; 61(5):517-28.
[3] Liman ST, Kuzucu A, Tastepe AI, Ulasan GN, Topcu S. Chest injury due to blunt trauma. Eur J Cardiothorac Surg. 2003; 23(3):374-8.
[4] Otten EJ. Rosen.'s Emergency Medicine: Concepts and Clinical Practice: 2-volume set, by Ron M. Walls, Robert S. Hockberger, Marianne Gausche-Hill, et al. Philadelphia, Elsevier Inc, 2022. 2756 pages. Elsevier; 2022.
[5] Leigh-Smith S, Harris T. Tension pneumothorax--time for a re-think? Emerg Med J. 2005; 22(1):8-16.
[6] Barton ED, Rhee P, Hutton KC, Rosen P. The pathophysiology of tension pneumothorax in ventilated swine. J Emerg Med. 1997; 15(2):147-53.
[7] Zarogoulidis P, Kioumis I, Pitsiou G, Porpodis K, Lampaki S, Papaiwannou A, et al. Pneumothorax: from definition to diagnosis and treatment. J Thorac Dis. 2014; 6(Suppl 4):S372-6.
[8] Laan DV, Vu TDN, Thiels CA, Pandian TK, Schiller HJ, Murad MH, et al. Chest wall thickness and decompression failure: A systematic review and meta-analysis comparing anatomic locations in needle thoracostomy. Injury. 2016; 47(4):797-804.
[9] Azizi N, ter Avest E, Hoek AE, Admiraal-van de Pas Y, Buizert PJ, Peijs DR, et al. Optimal anatomical location for needle chest decompression for tension pneumothorax: A multicenter prospective cohort study. Injury. 2021; 52(2):213-8.
[10] Leonhard G, Overhoff D, Wessel L, Viergutz T, Rudolph M, Schöler M, et al. Determining optimal needle size for decompression of tension pneumothorax in children – a CT-based study. Scand J Trauma Resusc Emerg Med. 2019; 27(1):90.
[11] Tritsch Z, Galan G, Oates G, Thomas J. Case Report: Traumatic Tension Pneumothorax in a Pediatric Patient. J Educ Teach Emerg Med. 2021; 6(1):V26-v8.
[12] Tintinalli JE, Stapczynski JS, Ma O, Yealy D, Meckler G, Cline D. Tintinalli's Emergency Medicine: A Comprehensive Study Guide, 8e: McGraw Hill Education; 2016.
[13] Gentry Wilkerson R, Stone MB. Sensitivity of bedside ultrasound and supine anteroposterior chest radiographs for the identification of pneumothorax after blunt trauma. Acad Emerg Med. 2010; 17(1):11-7.
[14] Idris BM, Hefny AF. Large pneumothorax in blunt chest trauma: Is a chest drain always necessary in stable patients? A case report. Int J Surg Case Rep. 2016; 24:88-90.
| Files | ||
| Issue | Vol 10 No Supp. 1 (2024): Supplement 1 |
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| Section | Case Report(s) | |
| Keywords | ||
| Multiple Trauma Tension Pneumothorax Subcutaneous Emphysema | ||
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This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. |
How to Cite
1.
Rastegari H, Heidari M, Keykha A. Traumatic Tension Pneumothorax with Extensive Subcutaneous Emphysema. Arch Anesth & Crit Care. 2024;10(Supp. 1):515-522.
