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Traumatic subcutaneous emphysema following blood donation: A case report.
Singh, Pallavi; Nair K, Revathy; Batra, Akshay; Singh, Satyendra Narayan.
Afiliación
  • Singh P; Department of Transfusion Medicine, MPMMCC-HBCH, Varanasi, India.
  • Nair K R; Department of Transfusion Medicine, MPMMCC-HBCH, Varanasi, India.
  • Batra A; Department of Transfusion Medicine, MPMMCC-HBCH, Varanasi, India.
  • Singh SN; Department of Radiodiagnosis, MPMMCC-HBCH, Varanasi, India.
Transfusion ; 64(3): 550-553, 2024 Mar.
Article en En | MEDLINE | ID: mdl-38380495
ABSTRACT

BACKGROUND:

Subcutaneous emphysema is a condition where air becomes trapped under the skin, typically resulting from surgery or skin trauma. It is mostly localized and its occurrence in blood donors is exceedingly rare. Phlebotomy poses minimal risk of subcutaneous emphysema, but procedural errors may lead to such complications. STUDY DESIGN AND

METHOD:

This is a case report of 29-year-old repeat blood donor who experienced subcutaneous emphysema following blood donation. The donor was vigorously squeezing sponge ball during donation resulting in displacement of the needle which required readjustment. Post-donation, the donor reported a crackling sensation and mild swelling near phlebotomy site. Non-contrast computed tomography (NCCT) scans confirmed subcutaneous emphysema, attributing its development to air trapping in subcutaneous plane due to ball valve mechanism.

RESULTS:

Computed tomography (CT) imaging revealed subcutaneous emphysematous changes in the right cubital region and no evidence of hematoma. The swelling spontaneously subsided in 10-12 days without any intervention. The case underscores the importance of differentiating subcutaneous emphysema from common complications like hematoma.

DISCUSSION:

Subcutaneous emphysema in blood donors is exceptionally rare but should be managed with clear communication. Donors should be reassured that the condition, although rare, is benign and self-resolving. Healthcare providers should be equipped to handle such rare complications, offering appropriate care and documenting incidents for future prevention.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Enfisema Subcutáneo / Donación de Sangre Límite: Adult / Humans Idioma: En Revista: Transfusion Año: 2024 Tipo del documento: Article País de afiliación: India Pais de publicación: Estados Unidos

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Enfisema Subcutáneo / Donación de Sangre Límite: Adult / Humans Idioma: En Revista: Transfusion Año: 2024 Tipo del documento: Article País de afiliación: India Pais de publicación: Estados Unidos