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Periorbital Emphysema Due to Traumatic Pneumothorax.
Manata, José Pedro; Moniz Ramos, Mariana; Baiherych, Tetiana; Alçada, Martim; Matos Costa, João.
Afiliación
  • Manata JP; Internal Medicine, Hospital Distrital De Santarém, Santarém, PRT.
  • Moniz Ramos M; Internal Medicine, Hospital Distrital De Santarém, Santarém, PRT.
  • Baiherych T; Internal Medicine, Hospital Distrital De Santarém, Santarém, PRT.
  • Alçada M; Internal Medicine, Hospital Distrital De Santarém, Santarém, PRT.
  • Matos Costa J; Internal Medicine, Hospital Distrital De Santarém, Santarém, PRT.
Cureus ; 16(1): e51691, 2024 Jan.
Article en En | MEDLINE | ID: mdl-38187024
ABSTRACT
Periorbital emphysema is rare and associated with facial trauma. Its main distinguishing feature is crepitation on palpation of the edema. It resolves spontaneously in a few days, but there are cases of orbital compartment syndrome that can lead to loss of vision. Here we present the case of a 55-year-old male who came to the emergency department for bilateral periorbital edema associated with non-steroidal anti-inflammatory drug (NSAID) usage, for pain following a fall from a ladder. He was treated with antihistamines and corticosteroids, for presumed allergic reaction, but without response, and subsequently developed acute onset dyspnea. Chest x-ray revealed a left pneumothorax in the context of chest trauma. Chest CT scan after drain placement shows extensive subcutaneous emphysema. In the differential diagnosis of periorbital edema, in addition to allergic, inflammatory, and systemic causes, the traumatic ones should not be excluded.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Cureus Año: 2024 Tipo del documento: Article Pais de publicación: Estados Unidos

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Cureus Año: 2024 Tipo del documento: Article Pais de publicación: Estados Unidos