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Pneumomediastinum from Blast Trauma

Gwinn BLG - MedPix (2005)

View Article: MedPix Image - MedPix Case

Affiliation: Uniformed Services University

ABSTRACT

Diagnosis: Pneumomediastinum from Blast Trauma

History: 24 yo man with IED blast injury from OIF with penetrating brain injury. He underwent a decompressive right hemicraniectomy at the 10th CSH. CT chest showed bilateral pneumothoraces and pneumomediastinum, therefore bilateral chest tubes were placed. Patient was then transported to LRAMC, and finally NNMC for definitive care.

Findings: Pneumomediastinum with air in the anterior aspect tracking up to the thoracic inlet. Subcutaneous air noted adjacent to the chest tubes and running up into the axilla bilaterally. Pneumothoraces bilaterally. Left subclavian line, endotracheal tube, enteric tube, and bilateral chest tubes appropriately placed.

Ddx: Barotrauma Penetrating injury to neck or chest positive pressure ventilation esophageal rupture postoperative mediastinitis

Dxhow: CT with IV and enteric contrast

Exam: BP 158/65, P 91, intubation O2sats 100% GCS 3 Bilateral chest tubes and bilateral breath sounds on lung exam.

No MeSH data available.


CT with IV and enteric contrast showing pneumomediastinum, bilateral pneumothoraces, and air in subcutaneous tissues.
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MPX1398_synpic27377: CT with IV and enteric contrast showing pneumomediastinum, bilateral pneumothoraces, and air in subcutaneous tissues.


Pneumomediastinum from Blast Trauma

Gwinn BLG - MedPix (2005)

CT with IV and enteric contrast showing pneumomediastinum, bilateral pneumothoraces, and air in subcutaneous tissues.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=MPX1398&req=5

MPX1398_synpic27377: CT with IV and enteric contrast showing pneumomediastinum, bilateral pneumothoraces, and air in subcutaneous tissues.

View Article: MedPix Image - MedPix Case

Affiliation: Uniformed Services University

ABSTRACT

Diagnosis: Pneumomediastinum from Blast Trauma

History: 24 yo man with IED blast injury from OIF with penetrating brain injury. He underwent a decompressive right hemicraniectomy at the 10th CSH. CT chest showed bilateral pneumothoraces and pneumomediastinum, therefore bilateral chest tubes were placed. Patient was then transported to LRAMC, and finally NNMC for definitive care.

Findings: Pneumomediastinum with air in the anterior aspect tracking up to the thoracic inlet. Subcutaneous air noted adjacent to the chest tubes and running up into the axilla bilaterally. Pneumothoraces bilaterally. Left subclavian line, endotracheal tube, enteric tube, and bilateral chest tubes appropriately placed.

Ddx: Barotrauma Penetrating injury to neck or chest positive pressure ventilation esophageal rupture postoperative mediastinitis

Dxhow: CT with IV and enteric contrast

Exam: BP 158/65, P 91, intubation O2sats 100% GCS 3 Bilateral chest tubes and bilateral breath sounds on lung exam.

No MeSH data available.