A Young Healthy Male with Spontaneous Subcutaneous Emphysema Occurring in Neck, Retropharyngeal and Mediastinal Spaces

We present a case of spontaneous cervical, retropharyngeal, and mediastinal emphysema occurring in a previously healthy young male, which is the first described case in Saudi Arabia. The patient was admitted to the ward for observation, monitoring of vital signs, analgesia, and prophylactic antibiot...

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Main Authors: Moayyad Malas, Nawaf Fatani, Zuhair Aljuhani
Format: Article
Language:English
Published: Wiley 2020-01-01
Series:Case Reports in Otolaryngology
Online Access:http://dx.doi.org/10.1155/2020/6963796
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author Moayyad Malas
Nawaf Fatani
Zuhair Aljuhani
author_facet Moayyad Malas
Nawaf Fatani
Zuhair Aljuhani
author_sort Moayyad Malas
collection DOAJ
description We present a case of spontaneous cervical, retropharyngeal, and mediastinal emphysema occurring in a previously healthy young male, which is the first described case in Saudi Arabia. The patient was admitted to the ward for observation, monitoring of vital signs, analgesia, and prophylactic antibiotics. The patient was kept under observation for 8 days. During that time, neck pain improved gradually with no episodes of oxygen desaturation or vital sign deterioration. The patient was later discharged with very mild persistent pain. Two weeks after discharge, patient was seen in outpatient clinic and was free of symptoms. Spontaneous subcutaneous emphysema remains a rare presentation encountered in emergency department. The investigations and treatment required for such patients has no consensus between authors. Although most of the reported cases described an uncomplicated course, there is a need for clear guidelines on management protocol.
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institution Kabale University
issn 2090-6765
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language English
publishDate 2020-01-01
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series Case Reports in Otolaryngology
spelling doaj-art-4413c9d0c6274735bc7cd2ff111616432025-02-03T01:04:59ZengWileyCase Reports in Otolaryngology2090-67652090-67732020-01-01202010.1155/2020/69637966963796A Young Healthy Male with Spontaneous Subcutaneous Emphysema Occurring in Neck, Retropharyngeal and Mediastinal SpacesMoayyad Malas0Nawaf Fatani1Zuhair Aljuhani2Department of Otolaryngology, King Abdulaziz Medical City, National Guard Hospital, Jeddah, Saudi ArabiaDepartment of Otolaryngology, King Abdulaziz University Hospital, Jeddah, Saudi ArabiaDepartment of Otolaryngology, King Fahad General Hospital, Ministry of Health, Jeddah, Saudi ArabiaWe present a case of spontaneous cervical, retropharyngeal, and mediastinal emphysema occurring in a previously healthy young male, which is the first described case in Saudi Arabia. The patient was admitted to the ward for observation, monitoring of vital signs, analgesia, and prophylactic antibiotics. The patient was kept under observation for 8 days. During that time, neck pain improved gradually with no episodes of oxygen desaturation or vital sign deterioration. The patient was later discharged with very mild persistent pain. Two weeks after discharge, patient was seen in outpatient clinic and was free of symptoms. Spontaneous subcutaneous emphysema remains a rare presentation encountered in emergency department. The investigations and treatment required for such patients has no consensus between authors. Although most of the reported cases described an uncomplicated course, there is a need for clear guidelines on management protocol.http://dx.doi.org/10.1155/2020/6963796
spellingShingle Moayyad Malas
Nawaf Fatani
Zuhair Aljuhani
A Young Healthy Male with Spontaneous Subcutaneous Emphysema Occurring in Neck, Retropharyngeal and Mediastinal Spaces
Case Reports in Otolaryngology
title A Young Healthy Male with Spontaneous Subcutaneous Emphysema Occurring in Neck, Retropharyngeal and Mediastinal Spaces
title_full A Young Healthy Male with Spontaneous Subcutaneous Emphysema Occurring in Neck, Retropharyngeal and Mediastinal Spaces
title_fullStr A Young Healthy Male with Spontaneous Subcutaneous Emphysema Occurring in Neck, Retropharyngeal and Mediastinal Spaces
title_full_unstemmed A Young Healthy Male with Spontaneous Subcutaneous Emphysema Occurring in Neck, Retropharyngeal and Mediastinal Spaces
title_short A Young Healthy Male with Spontaneous Subcutaneous Emphysema Occurring in Neck, Retropharyngeal and Mediastinal Spaces
title_sort young healthy male with spontaneous subcutaneous emphysema occurring in neck retropharyngeal and mediastinal spaces
url http://dx.doi.org/10.1155/2020/6963796
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