Subcutaneous emphysema is - the presence of air in the subcutaneous tissue. Most often occurs as a result of getting under the skin of the neck (less often, the chest, head and stomach) air of pneumothorax or emphysema of the mediastinum; rarely occurs due to the perforation of the gastrointestinal tract below the navel.
Symptoms of: discomfort in the neck and chest, crepitation with palpation of the neck and supraclavicular areas; symptoms of pneumothorax or mediastinal emphysema.
Diagnostics: The chest thorax shows the presence of air in the subcutaneous tissue of the neck and chest; In addition, the radiologic symptoms of pneumothorax or perforation of the gastrointestinal tract (air under the dome of the diaphragm in the survey WG of the abdominal cavity).
Treatment: if subcutaneous emphysema is associated with emphysema of the mediastinum, and the reason is not the perforation of the esophagus, bronchus or trachea, rather conservative treatment (observation). Subcutaneous emphysema with concomitant pneumothorax may require active drainage. Subcutaneous emphysema, which is associated with perforation of the gastrointestinal tract or respiratory tract, is an indication for immediate surgical intervention.