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Scrotal emphysema in a burn injury patient

Case report and review of the literature

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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.

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References

  1. Adams RJ (1953) Emphysema of the scrotum following retroperitoneal operation. Acta Chir Scand 106:35

    Google Scholar 

  2. Archer GJ (1974) Pneumoscrotum complicating pneumothorax and surgical emphysema. Br J Urol 46:343

    CAS  PubMed  Google Scholar 

  3. Bush G, Nixon RK (1969) Scrotal inflation — a new cause of subcutaneous, mediastinal and retroperitoneal emphysema. Henry Ford Hosp Med J 17:225

    CAS  PubMed  Google Scholar 

  4. Castellanos R, Rege PR, Evans AT (1973) Pneumoscrotum: a case report and review of the literature. J Urol 110:225

    CAS  PubMed  Google Scholar 

  5. Christensson PJ, O'Connell KJ, Albert P, Knuff TE (1980) Pneumoscrotum after diagnostic peritoneoscopy. Urology 16:78

    Google Scholar 

  6. Dencker H (1972) Pneumoscrotum as an early sign of anastomotic leakage after anterior resection of the colon. Surg Gynecol Obstet 134:1005

    CAS  PubMed  Google Scholar 

  7. Engelhard D, Ornoy A, Deckelbaum RJ (1981) Pneumoscrotum complicating percutaneous liver biopsy. Gastroenterology 80:390

    CAS  PubMed  Google Scholar 

  8. Fishman EK, Goldman SM (1981) Pneumoscrotum after colonoscopy. Urology 18:171

    Article  CAS  PubMed  Google Scholar 

  9. Futter NG (1980) Scrotal emphysema. Urology 15:360

    Article  CAS  PubMed  Google Scholar 

  10. Garcia C, Markowitz RI (1987) Pneumoperitoneum and pneumoscrotum caused by gastric perforation. Am J Perinatol 4:75

    CAS  PubMed  Google Scholar 

  11. Gerdin B, Liljeholm H, Weng P (1985) Spontaneous scrotal emphysema — a cause of scrotal swelling. Scand J Urol Nephrol 19:77

    CAS  PubMed  Google Scholar 

  12. Glover WL, Rhamy RK, Semerdijian HS, Miller HC (1974) Massive scrotal, subcutaneous and retroperitoneal emphysema following scrotal laceration: a case report. J Urol 112:498

    PubMed  Google Scholar 

  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 104:441

    CAS  PubMed  Google Scholar 

  14. Henderson CE, Hopson CN (1982) Pneumoscrotum as a complication of arthroscopy. J Bone Joint Surg [Am] 64:1238

    CAS  Google Scholar 

  15. Humayun H, Maliwan N (1982) Emphysematous genital infection caused bycandida albicans. J Urol 128:1049

    CAS  PubMed  Google Scholar 

  16. Keyes EL (1912) Two cases of pneumoscrotum following nephrotomy. Am J Urol 8:68

    Google Scholar 

  17. Melzer H (1948) Scrotal pneumocele complicating artificial pneumoperitoneum. Br J Tuberc 42:70

    Google Scholar 

  18. Meyers MA (1974) Radiological features of the spread and localization of extraperitoneal gas and their relationship to its source. Radiology 111:17

    CAS  PubMed  Google Scholar 

  19. Miyaka N, Yokota T (1988) Pneumoscrotum: a case report. Nishinippon Hinyokika, Nishinihon J Urol 50:1051

    Google Scholar 

  20. Moore RA, McNicholas KW, Niguidula FN, Clark DL (1982) Scrotal emphysema. J Med Soc NJ 79:835

    CAS  Google Scholar 

  21. Munsell WP (1967) Pneumomediastinum. JAMA 202:129

    Article  Google Scholar 

  22. Nagley MM (1948) Scrotal pneumocele and inguinal hernia complicating pneumoperitoneum therapy. Br J Tuberc 42:17

    Google Scholar 

  23. Nelson JN, Laidig CE (1962) Emphysema, a cause of scrotal enlargement. J Urol 87:580

    CAS  PubMed  Google Scholar 

  24. Rankin FW, Judd ES (1922) Emphysema of the scrotum. The result of diverticulitis of the sigmoid with perforation. Surg Gynecol Obstet 35:310

    Google Scholar 

  25. Redman JF, Pahls WL (1985) Pneumoscrotum following tracheal intubation. J Urol 133:1056

    CAS  PubMed  Google Scholar 

  26. Romenes GJ (ed) (1977) Cunningham's manual of practical anatomy. Oxford University Press, vol 2, p 78

  27. Sharma TC, Kagan HN (1980) Scrotal emphysema. Ann Surg 46:652

    CAS  Google Scholar 

  28. Shiraki IW, Sakai CS (1975) Emphysema of male genitalia following hemorrhoidectomy. Urol 5:647

    Article  CAS  PubMed  Google Scholar 

  29. Tobin CE, Benjamin JA (1949) Anatomic and clinical reevaluation of Camper's, Scarpa's and Colles' fasciae. Surg Gynecol Obstet 88:545

    Google Scholar 

  30. Williams RD, Simmons RL (1974) Citrobacter perinephric abscess presenting as pneumoscrotum in transplant recipient. Urology 3:478

    Article  CAS  PubMed  Google Scholar 

  31. Zegel HG, Miller WT (1979) Subcutaneous emphysema in a young man. JAMA 241:1273

    Article  CAS  PubMed  Google Scholar 

  32. Zikrillaev Z, Zikrillaev MZ (1985) Ostryi pnevmoskrotum posle operatisii na pochke (Acute pneumoscrotum after kidney surgery). Urol Nefrol (Mosk) 4:64

    Google Scholar 

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Schneider, W., Pallua, N. & Berger, A. Scrotal emphysema in a burn injury patient. Eur J Plast Surg 14, 144–146 (1991). https://doi.org/10.1007/BF02341742

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