Subcutaneous emphysema laboratory findings

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Overview

Laboratory Findings

Subcutaneous air (arrows) can be seen as black areas on this pelvic CT scan.

Significant cases of subcutaneous emphysema are easy to diagnose because of the characteristic signs of the condition.[1] In some cases, the signs are subtle, making diagnosis more difficult.[2] Medical imaging is used to diagnose the condition or confirm a diagnosis made using clinical signs. On a chest radiograph, subcutaneous emphysema may be seen as radiolucent striations in the pattern expected from the pectoralis major muscle group. Air in the subcutaneous tissues may interfere with radiography of the chest, potentially obscuring serious conditions such as pneumothorax.[3] It can also and reduce the effectiveness of chest ultrasound.[4] On the other hand, since subcutaneous emphysema may become apparent in chest X-rays before a pneumothorax does, its presence may be used to infer that of the latter injury.[2]

References

  1. Papiris SA, Roussos C (2004). "Pleural disease in the intensive care unit". In Bouros D. Pleural Disease (Lung Biology in Health and Disease). New York, N.Y: Marcel Dekker. pp. 771–777. ISBN 0-8247-4027-0. Retrieved 2008-05-16.
  2. 2.0 2.1 Wicky S, Wintermark M, Schnyder P, Capasso P, Denys A (2000). "Imaging of blunt chest trauma". European Radiology. 10 (10): 1524–1538. PMID 11044920.
  3. Gravenstein N, Lobato E, Kirby RM (2007). Complications in Anesthesiology. Hagerstown, MD: Lippincott Williams & Wilkins. p. 171. ISBN 0-7817-8263-5. Retrieved 2008-05-12.

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