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MeSH Review:

Subcutaneous Emphysema

McCamish, M.A. et al., Moss, M. et al., Wolf, J.S. et al., Yamamoto, M. et al., Kitamura, K. et al., et al.

Wong, McGuire, Moss, Biggs, Fagan, Forer, Davis, Roche,

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Disease relevance of Subcutaneous Emphysema

Analysis suggested that the classical triad of vomiting, chest pain and subcutaneous emphysema was rare (1/14) and therefore misleading [1].
Postoperative complications were seen in 2 patients: an extended subcutaneous emphysema due to excessive CO2 gas inflation and a mild burn, both of which were reversible [2].
PURPOSE: Subcutaneous emphysema following laparoscopy could result in postoperative respiratory acidosis from prolonged CO2 absorption [3].
Pneumomediastinum, pneumothorax and subcutaneous emphysema complicating MIS herniorrhaphy [4].
CLINICAL FEATURES: A 10-year-old Vietnamese girl presented with fever, shoulder pain, subcutaneous emphysema, swallowing difficulty and agitation [5].

High impact information on Subcutaneous Emphysema

CONCLUSIONS: Carbon dioxide absorption during laparoscopic renal surgery increases with time, and is greatest in patients treated through an extraperitoneal approach and in those with subcutaneous emphysema [6].
Subcutaneous emphysema and cocaine: a rare case [7].
CONCLUSION: Subcutaneous emphysema is a rare but potentially serious complication of TCM injection of lidocaine [8].
High positive-end expiratory pressures combined with high fractional concentrations of O2 led to perforation of lung parenchyma with considerable loss of O2, which produced subcutaneous emphysema and recurrent pneumothoraces [9].
Four cases of occipital bone pneumatization and subsequent complications are described, which include a pathological fracture of C1 and the occipital bone, spontaneous subcutaneous emphysema and pneumatocele formation [10].

Chemical compound and disease context of Subcutaneous Emphysema

Conversion to open surgery was done in seven cases due to anatomical reasons and in two due to progressive subcutaneous emphysema and CO2-retention [11].

Anatomical context of Subcutaneous Emphysema

There were no postoperative complications such as subcutaneous emphysema or hemorrhage, although hypoparathyroidism and recurrent laryngeal nerve paralysis occurred in one patient [12].

Gene context of Subcutaneous Emphysema

Extensive subcutaneous emphysema crossing the midline after a surgical extraction: report of case [13].

References

Diagnosis and management of spontaneous transmural rupture of the oesophagus (Boerhaave's syndrome). Walker, W.S., Cameron, E.W., Walbaum, P.R. The British journal of surgery. (1985) [Pubmed]
Endoscopic extirpation of benign breast tumors using an extramammary approach. Kitamura, K., Inoue, H., Ishida, M., Kinoshita, J., Hashizume, M., Sugimachi, K. Am. J. Surg. (2001) [Pubmed]
Effect of subcutaneous carbon dioxide insufflation on arterial pCO2. Rudston-Brown, B.C., MacLennan, D., Warriner, C.B., Phang, P.T. Am. J. Surg. (1996) [Pubmed]
Pneumomediastinum, pneumothorax and subcutaneous emphysema complicating MIS herniorrhaphy. Browne, J., Murphy, D., Shorten, G. Canadian journal of anaesthesia = Journal canadien d'anesthésie. (2000) [Pubmed]
Rabies. A second Australian case, with a long incubation period. Grattan-Smith, P.J., O'Regan, W.J., Ellis, P.S., O'Flaherty, S.J., McIntyre, P.B., Barnes, C.J. Med. J. Aust. (1992) [Pubmed]
The extraperitoneal approach and subcutaneous emphysema are associated with greater absorption of carbon dioxide during laparoscopic renal surgery. Wolf, J.S., Monk, T.G., McDougall, E.M., McClennan, B.L., Clayman, R.V. J. Urol. (1995) [Pubmed]
Subcutaneous emphysema and cocaine: a rare case. Khouzam, N. Archives of surgery (Chicago, Ill. : 1960) (1987) [Pubmed]
Subcutaneous emphysema following trans-cricothyroid membrane injection of local anesthetic. Wong, D.T., McGuire, G.P. Canadian journal of anaesthesia = Journal canadien d'anesthésie. (2000) [Pubmed]
Assessing energy requirements of patients on respirators. McCamish, M.A., Dean, R.E., Ouellette, T.R. JPEN. Journal of parenteral and enteral nutrition. (1981) [Pubmed]
Complications of occipital bone pneumatization. Moss, M., Biggs, M., Fagan, P., Forer, M., Davis, M., Roche, J. Australasian radiology. (2004) [Pubmed]
Laparoscopic Rosetti fundoplication. Hallerbäck, B., Glise, H., Johansson, B., Rådmark, T. Surgical endoscopy. (1994) [Pubmed]
Endoscopic subtotal thyroidectomy for patients with Graves' disease. Yamamoto, M., Sasaki, A., Asahi, H., Shimada, Y., Sato, N., Nakajima, J., Mashima, R., Saito, K. Surgery today. (2001) [Pubmed]
Extensive subcutaneous emphysema crossing the midline after a surgical extraction: report of case. Belfiglio, E.J., Fox, L.J. Journal of the American Dental Association (1939) (1986) [Pubmed]

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