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CASE REPORT
Year : 2015  |  Volume : 31  |  Issue : 3  |  Page : 404-406

Subcutaneous emphysema: Unique presentation of a foreign body in the airway


1 Department of Anaesthesiology and Critical Care, University College of Medical Sciences and GTB Hospital, Dilshad Garden, Delhi, India
2 Department of ENT, University College of Medical Sciences and GTB Hospital, Dilshad Garden, Delhi, India

Correspondence Address:
Mahendra Kumar
47 D, Pocket-A, MIG, GTB Enclave, Shahdara, Delhi - 110 093
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0970-9185.161682

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Foreign body airway (FBA) is a common problem among the children. Variable presentation makes it difficult to diagnose a case of FBA, particularly, when no definite history of aspiration is available. Subcutaneous emphysema (SCE) and pneumomediastinum are rare presentations. We report a case of FBA who presented with SCE without any history of aspiration. A 3-year-old female child was admitted with respiratory distress, fever and SCE over the right side of chest, neck and face. Initially, she was diagnosed as a case of pneumonitis with barotrauma. X-ray of the chest revealed SCE with pneumomediastinum without pneumothorax. Diagnostic bronchoscopy with rigid ventilating bronchoscope was done under general anesthesia. A plastic foreign body with sharp projections embedded in the mucosa was detected and retrieved from right main bronchus. Postoperatively SCE regressed gradually.


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