Sarıaslan Ahmet Y, Kahraman Murat, Uçarkuş Tuba Y, Gürbüz Kaan
Kayseri Şehir Eğitim ve Araştırma Hastanesi, Ortopedi ve Travmatoloji Kliniği, 38080 Kocasian, Kayseri, Türkiye.
Jt Dis Relat Surg. 2025 Jan 2;36(1):221-225. doi: 10.52312/jdrs.2025.2005. Epub 2024 Dec 10.
Subcutaneous emphysema, caused by the presence of air or gas in subcutaneous tissues, can be infectious or noninfectious. A thorough clinical evaluation, including both physical examination and radiological imaging, is required to distinguish benign subcutaneous emphysema from necrotizing soft tissue infections. In this article, we report a 12-year-old female patient with benign subcutaneous emphysema of the upper extremity and highlight the importance of an accurate diagnosis to avoid unnecessary surgical intervention. The rarity of benign subcutaneous emphysema in non-traumatic and non-infectious cases underscores the need for clinicians to differentiate it from more severe conditions, such as life-threatening infections. Conservative treatment is typically sufficient for benign subcutaneous emphysema, with fasciotomies reserved for emergencies. Proper diagnosis and treatment are essential to avoid unnecessary surgical procedures.
皮下气肿是由皮下组织中存在空气或气体引起的，可分为感染性或非感染性。需要进行全面的临床评估，包括体格检查和影像学检查，以区分良性皮下气肿与坏死性软组织感染。在本文中，我们报告了一名患有上肢良性皮下气肿的12岁女性患者，并强调准确诊断以避免不必要的手术干预的重要性。非创伤性和非感染性病例中良性皮下气肿的罕见性凸显了临床医生将其与更严重情况（如危及生命的感染）区分开来的必要性。对于良性皮下气肿，保守治疗通常就足够了，筋膜切开术仅用于紧急情况。正确的诊断和治疗对于避免不必要的手术程序至关重要。
