House Laura Kathryn, Lewis Andrea Furr
Department of Otolaryngology, University of Mississippi Medical Center, Jackson, MS, USA.
Clin Exp Emerg Med. 2018 Dec;5(4):282-285. doi: 10.15441/ceem.17.291. Epub 2018 Dec 31.
The objective is to review a case of pneumoparotitis and to discuss how knowledge of this unique presentation is important when making differential diagnoses in emergency medicine. A patient with recurrent subcutaneous emphysema of the head and neck is reviewed. Stenson's duct demonstrated purulent discharge. Physical examination revealed palpable crepitance of the head and neck. Fiberoptic laryngoscopy and barium esophagram were normal. Computed tomography demonstrated left pneumoparotitis and subcutaneous emphysema from the scalp to the clavicles. This is an unusual presentation of pneumoparotitis and malingering. Emergency physicians should be aware of pneumoparotitis and its presentation when creating a differential diagnosis for pneumomediastinum, which includes more life-threatening diagnoses such as airway or esophageal injuries.
目的是回顾一例腮腺积气的病例，并讨论了解这种独特表现对于急诊医学鉴别诊断的重要性。对一名患有头颈部复发性皮下气肿的患者进行了回顾。斯滕森导管显示有脓性分泌物。体格检查发现头颈部可触及捻发音。纤维喉镜检查和钡剂食管造影正常。计算机断层扫描显示左侧腮腺积气以及从头皮到锁骨的皮下气肿。这是腮腺积气和诈病的一种不寻常表现。急诊医生在对纵隔积气进行鉴别诊断时应了解腮腺积气及其表现，纵隔积气的鉴别诊断包括更具生命威胁的诊断，如气道或食管损伤。
