Ozalay Metin, Akpinar Sercan, Hersekli Murat Ali, Ozkoç Gürkan, Tandoğan Reha N
Baskent University Hospital, Dadaloğlu mah. 39 sok, No. 6, Yuregir, Adana, Turkey.
Arch Orthop Trauma Surg. 2003 Oct;123(8):433-5. doi: 10.1007/s00402-003-0566-0. Epub 2003 Aug 9.
A 17-year-old girl presented pain and subcutaneous crepitation in the left hand. Because of lack of systemic symptoms, non-infectious cause was considered. Radiographic and magnetic resonance imaging revealed subcutaneous emphysema. A chest x-ray was reported as normal but chest computerised tomography revealed pneumomediastinum. On the third day of the hospitalisation, subcutaneous emphysema spread to arm, shoulder, head, left hemithorax, back, bilateral supraclavicular, cervical, submandibular and periorbital regions. Pneumomediastinum and subcutaneous emphysema disappeared during 6 weeks of follow up with conservative methods. This might have prevented unnecessary surgical intervention. This report demonstrates that benign non-infectious subcutaneous emphysema of the hand due to pneumomediastinum should be kept in mind in hand surgery.
一名17岁女孩左手出现疼痛和皮下捻发音。由于缺乏全身症状，考虑为非感染性病因。X线和磁共振成像显示皮下气肿。胸部X线报告正常，但胸部计算机断层扫描显示纵隔气肿。住院第三天，皮下气肿蔓延至手臂、肩部、头部、左半胸、背部、双侧锁骨上、颈部、颌下和眶周区域。采用保守方法随访6周期间，纵隔气肿和皮下气肿消失。这可能避免了不必要的手术干预。本报告表明，在手外科中应考虑到因纵隔气肿导致的手部良性非感染性皮下气肿。
