Malas Moayyad, Fatani Nawaf, Aljuhani Zuhair
Department of Otolaryngology, King Abdulaziz Medical City, National Guard Hospital, Jeddah, Saudi Arabia.
Department of Otolaryngology, King Abdulaziz University Hospital, Jeddah, Saudi Arabia.
Case Rep Otolaryngol. 2020 Feb 7;2020:6963796. doi: 10.1155/2020/6963796. eCollection 2020.
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.
我们报告了一例发生在一名既往健康的年轻男性身上的自发性颈部、咽后和纵隔气肿病例，这是沙特阿拉伯首例报道的此类病例。患者被收入病房进行观察、生命体征监测、镇痛及预防性使用抗生素。患者接受了8天的观察。在此期间，颈部疼痛逐渐改善，未出现氧饱和度下降或生命体征恶化的情况。患者随后出院，仍有非常轻微的持续性疼痛。出院两周后，患者在门诊就诊，已无症状。自发性皮下气肿在急诊科仍然是一种罕见的表现。对于此类患者所需的检查和治疗，作者之间尚无共识。尽管大多数报道的病例描述的病程较为简单，但仍需要明确的管理方案指南。
