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[Iatrogenic cutaneous emphysema].

E Blanchard¹, E Wierzbicka-Hainaut, S Mallem

¹Service de dermatologie, hôpital La Milétrie, CHU de Poitiers, 2, rue de la Milétrie, BP 577, 86021 Poitiers cedex, France. estelle-blanchard@orange.fr

Annales De Dermatologie Et De Venereologie

|April 27, 2010

Summary

This summary is machine-generated.

Tracheal perforation after intubation can cause cutaneous emphysema. This case highlights eyelid swelling with pseudovesicles as a sign of this rare complication, necessitating prompt diagnosis.

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Area of Science:

Anesthesiology
Pulmonology
Dermatology

Background:

Tracheal perforation is a rare complication of orotracheal intubation during general anesthesia.
Cutaneous emphysema, particularly in the face, can manifest following tracheal injury.

Observation:

A 99-year-old woman presented with extensive facial swelling and eyelid pseudovesicles post-hip replacement surgery.
Thoracic cutaneous emphysema was evident on chest X-ray.
Bronchial endoscopy confirmed a posterior tracheal perforation.

Findings:

The patient's presentation was attributed to post-intubation tracheal perforation leading to cutaneous emphysema.
Eyelid swelling with pseudovesicles served as a key clinical sign.

Implications:

Dermatologists should consider cutaneous emphysema in cases of sudden eyelid swelling post-surgery.
Prompt bronchial endoscopy is crucial for diagnosing tracheal perforation.
Early recognition and diagnosis are vital for appropriate patient management.