Management of post lobectomy subcutaneous emphysema; a case report with literature review
Subcutaneous emphysema is an extremely rare complication after lobectomy. The current study aims to report a case of lung cancer developing extensive subcutaneous emphysema after lobectomy. A 73-year-old man presented with dyspnea and cough for one month duration associated with wheeze and sputum. H...
Gespeichert in:
Veröffentlicht in: | Annals of medicine and surgery 2021-09, Vol.69, p.102610, Article 102610 |
---|---|
Hauptverfasser: | , , , , , , , , , , , , |
Format: | Artikel |
Sprache: | eng |
Schlagworte: | |
Online-Zugang: | Volltext |
Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
container_end_page | |
---|---|
container_issue | |
container_start_page | 102610 |
container_title | Annals of medicine and surgery |
container_volume | 69 |
creator | Ali, Razhan K. Kakamad, Fahmi H. Hama ali Abdalla, Shalaw Hussein, Shakhawan I. Salih, Abdulwahid M. Salih, Rawezh Q. Mohammed, Shvan H. Hussien, Dahat A. Hassan, Marwan N. Abdulla, Berwn A. Abdullah, Hiwa O. Othman, Snur Mikael, Tomas M.Sharif M. |
description | Subcutaneous emphysema is an extremely rare complication after lobectomy. The current study aims to report a case of lung cancer developing extensive subcutaneous emphysema after lobectomy.
A 73-year-old man presented with dyspnea and cough for one month duration associated with wheeze and sputum. He was a chronic heavy smoker (100 pack/year). Work up revealed squamous cell carcinoma. Although he had poor pulmonary function tests, he underwent left upper lobectomy. On the fifth postoperative day, he was discharged from the hospital as there was no air leak and the lung remained expanded 15 hours after clamping of the thoracostomy tube. Two days later, the patient developed generalized subcutaneous emphysema. The patient was re-admitted to the hospital and a thoracostomy tube was inserted. The lung expanded upon insertion while the subcutaneous emphysema remained the same and even slightly increased over night. A 3 cm incision was made at the left infra-clavicular area and a negative pressure applied to it. The subcutaneous emphysema completely subsided a few hours after this intervention.
Because of the benign course, the majority of cases of subcutaneous emphysema (mild to moderate) only need nonoperative management alongside treatment of the predisposing factors. These patients may need nothing other than bed rest, good analgesia, supplemental oxygen, and reassurance.
Subcutaneous emphysema after lobectomy prolongs hospital stay. It mainly occurs in cases with poor pulmonary function tests, steroid use, and those with extensive adhesion.
•Subcutaneous emphysema is one of the complications following thoracic surgery.•Subcutaneous emphysema might be a benign and self-limiting condition.•It might be a serious condition that ends with respiratory failure and death.•In this report, a case of lung cancer developing subcutaneous emphysema after lobectomy discussed. |
doi_str_mv | 10.1016/j.amsu.2021.102610 |
format | Article |
fullrecord | <record><control><sourceid>elsevier_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_8377524</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><els_id>S2049080121005604</els_id><sourcerecordid>S2049080121005604</sourcerecordid><originalsourceid>FETCH-LOGICAL-c422t-13122847b84066deb652aa80a799b06f360b3b3340db26d15ad4bffc470c89503</originalsourceid><addsrcrecordid>eNp9kM9qGzEQxkVpqUPqF-gh6AXsjv6sdpeEQAlpU3DIJTn0JCTtrC3jXS2S1sFv3zVuTHrpaYaZ-b7h-xHylcGSAVPftkvTpXHJgbNpwBWDD-SCg6wXUAH7-K6fkXlKWwBgUAilqs9kJqQsSi7rC_L70fRmjR32mYaWDiFlugsWXQ7dgabRujGbHsOYKHbD5pCwM9fUUGcS0ohDiJm--ryhO58xmjzG43jv8fUL-dSaXcL533pJXn7cP989LFZPP3_dfV8tnOQ8L5hgnFeytJUEpRq0quDGVGDKuragWqHACiuEhMZy1bDCNNK2rZMluKouQFyS25PvMNoOGzcliWanh-g7Ew86GK__3fR-o9dhrytRlgWXkwE_GbgYUorYnrUM9JG13uoja31krU-sJ9HV-69nyRvZ6eDmdIBT9olH1Ml57B02Pk50dRP8__z_AGgxkhA</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype></control><display><type>article</type><title>Management of post lobectomy subcutaneous emphysema; a case report with literature review</title><source>Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals</source><source>PubMed Central</source><source>Alma/SFX Local Collection</source><creator>Ali, Razhan K. ; Kakamad, Fahmi H. ; Hama ali Abdalla, Shalaw ; Hussein, Shakhawan I. ; Salih, Abdulwahid M. ; Salih, Rawezh Q. ; Mohammed, Shvan H. ; Hussien, Dahat A. ; Hassan, Marwan N. ; Abdulla, Berwn A. ; Abdullah, Hiwa O. ; Othman, Snur ; Mikael, Tomas M.Sharif M.</creator><creatorcontrib>Ali, Razhan K. ; Kakamad, Fahmi H. ; Hama ali Abdalla, Shalaw ; Hussein, Shakhawan I. ; Salih, Abdulwahid M. ; Salih, Rawezh Q. ; Mohammed, Shvan H. ; Hussien, Dahat A. ; Hassan, Marwan N. ; Abdulla, Berwn A. ; Abdullah, Hiwa O. ; Othman, Snur ; Mikael, Tomas M.Sharif M.</creatorcontrib><description>Subcutaneous emphysema is an extremely rare complication after lobectomy. The current study aims to report a case of lung cancer developing extensive subcutaneous emphysema after lobectomy.
A 73-year-old man presented with dyspnea and cough for one month duration associated with wheeze and sputum. He was a chronic heavy smoker (100 pack/year). Work up revealed squamous cell carcinoma. Although he had poor pulmonary function tests, he underwent left upper lobectomy. On the fifth postoperative day, he was discharged from the hospital as there was no air leak and the lung remained expanded 15 hours after clamping of the thoracostomy tube. Two days later, the patient developed generalized subcutaneous emphysema. The patient was re-admitted to the hospital and a thoracostomy tube was inserted. The lung expanded upon insertion while the subcutaneous emphysema remained the same and even slightly increased over night. A 3 cm incision was made at the left infra-clavicular area and a negative pressure applied to it. The subcutaneous emphysema completely subsided a few hours after this intervention.
Because of the benign course, the majority of cases of subcutaneous emphysema (mild to moderate) only need nonoperative management alongside treatment of the predisposing factors. These patients may need nothing other than bed rest, good analgesia, supplemental oxygen, and reassurance.
Subcutaneous emphysema after lobectomy prolongs hospital stay. It mainly occurs in cases with poor pulmonary function tests, steroid use, and those with extensive adhesion.
•Subcutaneous emphysema is one of the complications following thoracic surgery.•Subcutaneous emphysema might be a benign and self-limiting condition.•It might be a serious condition that ends with respiratory failure and death.•In this report, a case of lung cancer developing subcutaneous emphysema after lobectomy discussed.</description><identifier>ISSN: 2049-0801</identifier><identifier>EISSN: 2049-0801</identifier><identifier>DOI: 10.1016/j.amsu.2021.102610</identifier><identifier>PMID: 34457249</identifier><language>eng</language><publisher>England: Elsevier Ltd</publisher><subject>Case Report ; Lobectomy ; Negative pressure ; Subcutaneous emphysema ; Surgical emphysema</subject><ispartof>Annals of medicine and surgery, 2021-09, Vol.69, p.102610, Article 102610</ispartof><rights>2021 The Authors</rights><rights>2021 The Authors.</rights><rights>2021 The Authors 2021</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c422t-13122847b84066deb652aa80a799b06f360b3b3340db26d15ad4bffc470c89503</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8377524/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8377524/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,881,27901,27902,53766,53768</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/34457249$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Ali, Razhan K.</creatorcontrib><creatorcontrib>Kakamad, Fahmi H.</creatorcontrib><creatorcontrib>Hama ali Abdalla, Shalaw</creatorcontrib><creatorcontrib>Hussein, Shakhawan I.</creatorcontrib><creatorcontrib>Salih, Abdulwahid M.</creatorcontrib><creatorcontrib>Salih, Rawezh Q.</creatorcontrib><creatorcontrib>Mohammed, Shvan H.</creatorcontrib><creatorcontrib>Hussien, Dahat A.</creatorcontrib><creatorcontrib>Hassan, Marwan N.</creatorcontrib><creatorcontrib>Abdulla, Berwn A.</creatorcontrib><creatorcontrib>Abdullah, Hiwa O.</creatorcontrib><creatorcontrib>Othman, Snur</creatorcontrib><creatorcontrib>Mikael, Tomas M.Sharif M.</creatorcontrib><title>Management of post lobectomy subcutaneous emphysema; a case report with literature review</title><title>Annals of medicine and surgery</title><addtitle>Ann Med Surg (Lond)</addtitle><description>Subcutaneous emphysema is an extremely rare complication after lobectomy. The current study aims to report a case of lung cancer developing extensive subcutaneous emphysema after lobectomy.
A 73-year-old man presented with dyspnea and cough for one month duration associated with wheeze and sputum. He was a chronic heavy smoker (100 pack/year). Work up revealed squamous cell carcinoma. Although he had poor pulmonary function tests, he underwent left upper lobectomy. On the fifth postoperative day, he was discharged from the hospital as there was no air leak and the lung remained expanded 15 hours after clamping of the thoracostomy tube. Two days later, the patient developed generalized subcutaneous emphysema. The patient was re-admitted to the hospital and a thoracostomy tube was inserted. The lung expanded upon insertion while the subcutaneous emphysema remained the same and even slightly increased over night. A 3 cm incision was made at the left infra-clavicular area and a negative pressure applied to it. The subcutaneous emphysema completely subsided a few hours after this intervention.
Because of the benign course, the majority of cases of subcutaneous emphysema (mild to moderate) only need nonoperative management alongside treatment of the predisposing factors. These patients may need nothing other than bed rest, good analgesia, supplemental oxygen, and reassurance.
Subcutaneous emphysema after lobectomy prolongs hospital stay. It mainly occurs in cases with poor pulmonary function tests, steroid use, and those with extensive adhesion.
•Subcutaneous emphysema is one of the complications following thoracic surgery.•Subcutaneous emphysema might be a benign and self-limiting condition.•It might be a serious condition that ends with respiratory failure and death.•In this report, a case of lung cancer developing subcutaneous emphysema after lobectomy discussed.</description><subject>Case Report</subject><subject>Lobectomy</subject><subject>Negative pressure</subject><subject>Subcutaneous emphysema</subject><subject>Surgical emphysema</subject><issn>2049-0801</issn><issn>2049-0801</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><recordid>eNp9kM9qGzEQxkVpqUPqF-gh6AXsjv6sdpeEQAlpU3DIJTn0JCTtrC3jXS2S1sFv3zVuTHrpaYaZ-b7h-xHylcGSAVPftkvTpXHJgbNpwBWDD-SCg6wXUAH7-K6fkXlKWwBgUAilqs9kJqQsSi7rC_L70fRmjR32mYaWDiFlugsWXQ7dgabRujGbHsOYKHbD5pCwM9fUUGcS0ohDiJm--ryhO58xmjzG43jv8fUL-dSaXcL533pJXn7cP989LFZPP3_dfV8tnOQ8L5hgnFeytJUEpRq0quDGVGDKuragWqHACiuEhMZy1bDCNNK2rZMluKouQFyS25PvMNoOGzcliWanh-g7Ew86GK__3fR-o9dhrytRlgWXkwE_GbgYUorYnrUM9JG13uoja31krU-sJ9HV-69nyRvZ6eDmdIBT9olH1Ml57B02Pk50dRP8__z_AGgxkhA</recordid><startdate>20210901</startdate><enddate>20210901</enddate><creator>Ali, Razhan K.</creator><creator>Kakamad, Fahmi H.</creator><creator>Hama ali Abdalla, Shalaw</creator><creator>Hussein, Shakhawan I.</creator><creator>Salih, Abdulwahid M.</creator><creator>Salih, Rawezh Q.</creator><creator>Mohammed, Shvan H.</creator><creator>Hussien, Dahat A.</creator><creator>Hassan, Marwan N.</creator><creator>Abdulla, Berwn A.</creator><creator>Abdullah, Hiwa O.</creator><creator>Othman, Snur</creator><creator>Mikael, Tomas M.Sharif M.</creator><general>Elsevier Ltd</general><general>Elsevier</general><scope>6I.</scope><scope>AAFTH</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>5PM</scope></search><sort><creationdate>20210901</creationdate><title>Management of post lobectomy subcutaneous emphysema; a case report with literature review</title><author>Ali, Razhan K. ; Kakamad, Fahmi H. ; Hama ali Abdalla, Shalaw ; Hussein, Shakhawan I. ; Salih, Abdulwahid M. ; Salih, Rawezh Q. ; Mohammed, Shvan H. ; Hussien, Dahat A. ; Hassan, Marwan N. ; Abdulla, Berwn A. ; Abdullah, Hiwa O. ; Othman, Snur ; Mikael, Tomas M.Sharif M.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c422t-13122847b84066deb652aa80a799b06f360b3b3340db26d15ad4bffc470c89503</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Case Report</topic><topic>Lobectomy</topic><topic>Negative pressure</topic><topic>Subcutaneous emphysema</topic><topic>Surgical emphysema</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Ali, Razhan K.</creatorcontrib><creatorcontrib>Kakamad, Fahmi H.</creatorcontrib><creatorcontrib>Hama ali Abdalla, Shalaw</creatorcontrib><creatorcontrib>Hussein, Shakhawan I.</creatorcontrib><creatorcontrib>Salih, Abdulwahid M.</creatorcontrib><creatorcontrib>Salih, Rawezh Q.</creatorcontrib><creatorcontrib>Mohammed, Shvan H.</creatorcontrib><creatorcontrib>Hussien, Dahat A.</creatorcontrib><creatorcontrib>Hassan, Marwan N.</creatorcontrib><creatorcontrib>Abdulla, Berwn A.</creatorcontrib><creatorcontrib>Abdullah, Hiwa O.</creatorcontrib><creatorcontrib>Othman, Snur</creatorcontrib><creatorcontrib>Mikael, Tomas M.Sharif M.</creatorcontrib><collection>ScienceDirect Open Access Titles</collection><collection>Elsevier:ScienceDirect:Open Access</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Annals of medicine and surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Ali, Razhan K.</au><au>Kakamad, Fahmi H.</au><au>Hama ali Abdalla, Shalaw</au><au>Hussein, Shakhawan I.</au><au>Salih, Abdulwahid M.</au><au>Salih, Rawezh Q.</au><au>Mohammed, Shvan H.</au><au>Hussien, Dahat A.</au><au>Hassan, Marwan N.</au><au>Abdulla, Berwn A.</au><au>Abdullah, Hiwa O.</au><au>Othman, Snur</au><au>Mikael, Tomas M.Sharif M.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Management of post lobectomy subcutaneous emphysema; a case report with literature review</atitle><jtitle>Annals of medicine and surgery</jtitle><addtitle>Ann Med Surg (Lond)</addtitle><date>2021-09-01</date><risdate>2021</risdate><volume>69</volume><spage>102610</spage><pages>102610-</pages><artnum>102610</artnum><issn>2049-0801</issn><eissn>2049-0801</eissn><abstract>Subcutaneous emphysema is an extremely rare complication after lobectomy. The current study aims to report a case of lung cancer developing extensive subcutaneous emphysema after lobectomy.
A 73-year-old man presented with dyspnea and cough for one month duration associated with wheeze and sputum. He was a chronic heavy smoker (100 pack/year). Work up revealed squamous cell carcinoma. Although he had poor pulmonary function tests, he underwent left upper lobectomy. On the fifth postoperative day, he was discharged from the hospital as there was no air leak and the lung remained expanded 15 hours after clamping of the thoracostomy tube. Two days later, the patient developed generalized subcutaneous emphysema. The patient was re-admitted to the hospital and a thoracostomy tube was inserted. The lung expanded upon insertion while the subcutaneous emphysema remained the same and even slightly increased over night. A 3 cm incision was made at the left infra-clavicular area and a negative pressure applied to it. The subcutaneous emphysema completely subsided a few hours after this intervention.
Because of the benign course, the majority of cases of subcutaneous emphysema (mild to moderate) only need nonoperative management alongside treatment of the predisposing factors. These patients may need nothing other than bed rest, good analgesia, supplemental oxygen, and reassurance.
Subcutaneous emphysema after lobectomy prolongs hospital stay. It mainly occurs in cases with poor pulmonary function tests, steroid use, and those with extensive adhesion.
•Subcutaneous emphysema is one of the complications following thoracic surgery.•Subcutaneous emphysema might be a benign and self-limiting condition.•It might be a serious condition that ends with respiratory failure and death.•In this report, a case of lung cancer developing subcutaneous emphysema after lobectomy discussed.</abstract><cop>England</cop><pub>Elsevier Ltd</pub><pmid>34457249</pmid><doi>10.1016/j.amsu.2021.102610</doi><oa>free_for_read</oa></addata></record> |
fulltext | fulltext |
identifier | ISSN: 2049-0801 |
ispartof | Annals of medicine and surgery, 2021-09, Vol.69, p.102610, Article 102610 |
issn | 2049-0801 2049-0801 |
language | eng |
recordid | cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_8377524 |
source | Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; PubMed Central; Alma/SFX Local Collection |
subjects | Case Report Lobectomy Negative pressure Subcutaneous emphysema Surgical emphysema |
title | Management of post lobectomy subcutaneous emphysema; a case report with literature review |
url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-02-09T00%3A58%3A43IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-elsevier_pubme&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Management%20of%20post%20lobectomy%20subcutaneous%20emphysema;%20a%20case%20report%20with%20literature%20review&rft.jtitle=Annals%20of%20medicine%20and%20surgery&rft.au=Ali,%20Razhan%20K.&rft.date=2021-09-01&rft.volume=69&rft.spage=102610&rft.pages=102610-&rft.artnum=102610&rft.issn=2049-0801&rft.eissn=2049-0801&rft_id=info:doi/10.1016/j.amsu.2021.102610&rft_dat=%3Celsevier_pubme%3ES2049080121005604%3C/elsevier_pubme%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_id=info:pmid/34457249&rft_els_id=S2049080121005604&rfr_iscdi=true |