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Author Orton, Jonathan ♦ Collette, Emily
Source World Health Organization (WHO)-Global Index Medicus
Content type Text
Publisher Elsevier
File Format HTM / HTML
Language English
Difficulty Level Medium
Subject Domain (in DDC) Natural sciences & mathematics ♦ Chemistry & allied sciences ♦ Life sciences; biology ♦ Biochemistry ♦ Natural history of organisms ♦ Technology ♦ Medicine & health ♦ Pharmacology and therapeutics ♦ Diseases ♦ Manufacture for specific uses ♦ Precision instruments & other devices
Subject Domain (in MeSH) Eukaryota ♦ Organisms ♦ Respiratory Tract Diseases ♦ Eye Diseases ♦ Pathological Conditions, Signs and Symptoms ♦ Diseases ♦ Chemical Actions and Uses ♦ Chemicals and Drugs ♦ Diagnosis ♦ Investigative Techniques ♦ Analytical, Diagnostic and Therapeutic Techniques and Equipment ♦ Persons ♦ Persons
Subject Keyword Discipline Emergency ♦ Discipline Medicine ♦ Mediastinal Emphysema ♦ Orbital Diseases ♦ Subcutaneous Emphysema ♦ Tomography, X-ray Computed ♦ Contrast Media ♦ Diagnosis, Differential ♦ Humans ♦ Male ♦ Middle Aged ♦ Risk Factors ♦ Case Reports ♦ Journal Article
Abstract Idiopathic spontaneous pneumomediastinum is rare but even rarer is associated unilateral periorbital subcutaneous emphysema. There is only 1 known case report noting both of these findings and was associated with endoscopic retrograde cholangiopancreatography complication. Isolated periorbital emphysema has been associated with dental procedures, facial trauma, and sneezing. It is has also been seen with pneumomediastinum caused by barotrauma, pneumothorax, endoscopic retrograde cholangiopancreatography, and esophageal perforation. A 52-year-old White male presents to the emergency department with complaint of left eye swelling that occurred overnight without known cause. He was found to have spontaneous idiopathic pneumomediastinum and unilateral periorbital subcutaneous emphysema. Although rare, it is important to rule out subcutaneous air tracking from pneumomediastinum when evaluating unilateral periorbital swelling in an otherwise asymptomatic patient.
Description Author Affiliation: Orton J ( Yadkin Valley Community Hospital, 624 W Main St, Yadkinville, NC, 27055. Electronic address:; Collette E ( Yadkin Valley Community Hospital, 624 W Main St, Yadkinville, NC, 27055. Electronic address:
ISSN 07356757
Educational Role Student ♦ Teacher
Age Range above 22 year
Educational Use Reading ♦ Research ♦ Self Learning
Interactivity Type Expositive
Education Level UG and PG
Learning Resource Type Article ♦ Case study
Publisher Date 2015-12-01
Publisher Place United States
e-ISSN 15328171
Journal The American Journal of Emergency Medicine
Volume Number 33
Issue Number 12

Source: WHO-Global Index Medicus