Shah S I, Applebaum E L
University of Illinois at Chicago, USA.
Am J Otolaryngol. 2000 Sep-Oct;21(5):337-9. doi: 10.1053/ajot.2000.16170.
The presence of air in the temporal regions is an uncommon presentation of spontaneous pneumomediastinum. As terminal alveoli rupture, air dissects along bronchovascular shafts. Usually, air travels either in a superior or inferior direction. Thus, extensive spontaneous subcutaneous emphysema accompanied by both cervical and retroperitoneal emphysema is rarely encountered. We present an unusual case of spontaneous pneumomediastinum, pneumoretroperitoneum, and cervical and facial emphysema presenting as bilateral painless temporal swelling. To our knowledge, this association has not been reported. Treatment involves observation for potentially life-threatening sequelae.
颞部区域出现气体是自发性纵隔气肿的一种罕见表现。随着终末肺泡破裂，气体沿支气管血管束扩散。通常，气体向上或向下传播。因此，很少会遇到伴有颈部和腹膜后气肿的广泛自发性皮下气肿。我们报告一例罕见的自发性纵隔气肿、腹膜后积气以及表现为双侧无痛性颞部肿胀的颈部和面部气肿病例。据我们所知，这种关联尚未见报道。治疗包括观察是否有潜在的危及生命的后遗症。
