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European Journal of Plastic Surgery

, Volume 14, Issue 3, pp 144–146 | Cite as

Scrotal emphysema in a burn injury patient

Case report and review of the literature
  • W. Schneider
  • N. Pallua
  • A. Berger
Case Reports

Summary

A burn-injured 17-year-old boy suffered from an apical pneumothorax of the right side caused either by placement of a subclavian catheter or by the blast injury. Following this, he developed scrotal emphysema. Air extended along the subcutis of the lateral thoracic and abdominal wall through a lesion in the parietal pleura up to the inguinal canal to the scrotum caused by the positive pressure breathing. After cessation of the PEEP-breathing, there was no recurrence.

Key words

Burn injury Apical pneumothorax Scrotal emphysema 

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References

  1. 1.
    Adams RJ (1953) Emphysema of the scrotum following retroperitoneal operation. Acta Chir Scand 106:35Google Scholar
  2. 2.
    Archer GJ (1974) Pneumoscrotum complicating pneumothorax and surgical emphysema. Br J Urol 46:343PubMedGoogle Scholar
  3. 3.
    Bush G, Nixon RK (1969) Scrotal inflation — a new cause of subcutaneous, mediastinal and retroperitoneal emphysema. Henry Ford Hosp Med J 17:225PubMedGoogle Scholar
  4. 4.
    Castellanos R, Rege PR, Evans AT (1973) Pneumoscrotum: a case report and review of the literature. J Urol 110:225PubMedGoogle Scholar
  5. 5.
    Christensson PJ, O'Connell KJ, Albert P, Knuff TE (1980) Pneumoscrotum after diagnostic peritoneoscopy. Urology 16:78Google Scholar
  6. 6.
    Dencker H (1972) Pneumoscrotum as an early sign of anastomotic leakage after anterior resection of the colon. Surg Gynecol Obstet 134:1005PubMedGoogle Scholar
  7. 7.
    Engelhard D, Ornoy A, Deckelbaum RJ (1981) Pneumoscrotum complicating percutaneous liver biopsy. Gastroenterology 80:390PubMedGoogle Scholar
  8. 8.
    Fishman EK, Goldman SM (1981) Pneumoscrotum after colonoscopy. Urology 18:171CrossRefPubMedGoogle Scholar
  9. 9.
    Futter NG (1980) Scrotal emphysema. Urology 15:360CrossRefPubMedGoogle Scholar
  10. 10.
    Garcia C, Markowitz RI (1987) Pneumoperitoneum and pneumoscrotum caused by gastric perforation. Am J Perinatol 4:75PubMedGoogle Scholar
  11. 11.
    Gerdin B, Liljeholm H, Weng P (1985) Spontaneous scrotal emphysema — a cause of scrotal swelling. Scand J Urol Nephrol 19:77PubMedGoogle Scholar
  12. 12.
    Glover WL, Rhamy RK, Semerdijian HS, Miller HC (1974) Massive scrotal, subcutaneous and retroperitoneal emphysema following scrotal laceration: a case report. J Urol 112:498PubMedGoogle Scholar
  13. 13.
    Gordon HL, Walkup JL (1970) Scrotal pneumatocele as an unusual sign of pneumoperitoneum: report of a case and review of the literature. J Urol 104:441PubMedGoogle Scholar
  14. 14.
    Henderson CE, Hopson CN (1982) Pneumoscrotum as a complication of arthroscopy. J Bone Joint Surg [Am] 64:1238Google Scholar
  15. 15.
    Humayun H, Maliwan N (1982) Emphysematous genital infection caused bycandida albicans. J Urol 128:1049PubMedGoogle Scholar
  16. 16.
    Keyes EL (1912) Two cases of pneumoscrotum following nephrotomy. Am J Urol 8:68Google Scholar
  17. 17.
    Melzer H (1948) Scrotal pneumocele complicating artificial pneumoperitoneum. Br J Tuberc 42:70Google Scholar
  18. 18.
    Meyers MA (1974) Radiological features of the spread and localization of extraperitoneal gas and their relationship to its source. Radiology 111:17PubMedGoogle Scholar
  19. 19.
    Miyaka N, Yokota T (1988) Pneumoscrotum: a case report. Nishinippon Hinyokika, Nishinihon J Urol 50:1051Google Scholar
  20. 20.
    Moore RA, McNicholas KW, Niguidula FN, Clark DL (1982) Scrotal emphysema. J Med Soc NJ 79:835Google Scholar
  21. 21.
    Munsell WP (1967) Pneumomediastinum. JAMA 202:129CrossRefGoogle Scholar
  22. 22.
    Nagley MM (1948) Scrotal pneumocele and inguinal hernia complicating pneumoperitoneum therapy. Br J Tuberc 42:17Google Scholar
  23. 23.
    Nelson JN, Laidig CE (1962) Emphysema, a cause of scrotal enlargement. J Urol 87:580PubMedGoogle Scholar
  24. 24.
    Rankin FW, Judd ES (1922) Emphysema of the scrotum. The result of diverticulitis of the sigmoid with perforation. Surg Gynecol Obstet 35:310Google Scholar
  25. 25.
    Redman JF, Pahls WL (1985) Pneumoscrotum following tracheal intubation. J Urol 133:1056PubMedGoogle Scholar
  26. 26.
    Romenes GJ (ed) (1977) Cunningham's manual of practical anatomy. Oxford University Press, vol 2, p 78Google Scholar
  27. 27.
    Sharma TC, Kagan HN (1980) Scrotal emphysema. Ann Surg 46:652Google Scholar
  28. 28.
    Shiraki IW, Sakai CS (1975) Emphysema of male genitalia following hemorrhoidectomy. Urol 5:647CrossRefPubMedGoogle Scholar
  29. 29.
    Tobin CE, Benjamin JA (1949) Anatomic and clinical reevaluation of Camper's, Scarpa's and Colles' fasciae. Surg Gynecol Obstet 88:545Google Scholar
  30. 30.
    Williams RD, Simmons RL (1974) Citrobacter perinephric abscess presenting as pneumoscrotum in transplant recipient. Urology 3:478CrossRefPubMedGoogle Scholar
  31. 31.
    Zegel HG, Miller WT (1979) Subcutaneous emphysema in a young man. JAMA 241:1273CrossRefPubMedGoogle Scholar
  32. 32.
    Zikrillaev Z, Zikrillaev MZ (1985) Ostryi pnevmoskrotum posle operatisii na pochke (Acute pneumoscrotum after kidney surgery). Urol Nefrol (Mosk) 4:64Google Scholar

Copyright information

© Springer-Verlag 1991

Authors and Affiliations

  • W. Schneider
    • 1
  • N. Pallua
    • 1
  • A. Berger
    • 1
  1. 1.Department of PlasticHand and Reconstructive Surgery of the Medical School of HannoverHannover 51Germany

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