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Benign subcutaneous emphysema: A case report with bite.

V E Onwochei1, M E Kelly1, R Lyons1

  • 1Department of Surgery, Mayo General Hospital, Castlebar, Mayo, Ireland.

International Journal of Surgery Case Reports
|March 10, 2015
PubMed
Summary
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A rare case of benign subcutaneous emphysema, often caused by insect bites, highlights the importance of differentiating it from infections. Surgical intervention may be necessary for persistent symptoms.

Area of Science:

  • Medical Case Reports
  • Dermatology
  • Surgical Pathology

Background:

  • Subcutaneous emphysema involves air in the subcutaneous tissue, with benign causes being uncommon.
  • Insect bites are an unusual but possible trigger for subcutaneous emphysema.

Purpose of the Study:

  • To report an extremely rare case of benign subcutaneous emphysema following an insect bite.
  • To discuss the diagnostic and management challenges of this condition.

Main Methods:

  • A case report detailing a 48-year-old male with subcutaneous emphysema after an insect bite on the forearm.
  • Description of clinical presentation, conservative management, and subsequent surgical debridement.

Main Results:

  • The emphysema spread from the forearm to the axilla and superior mediastinum.
Keywords:
Benign subcutaneous emphysemaInsect biteManagement

Related Experiment Videos

  • Conservative treatment yielded partial results, while surgical debridement resolved symptoms.
  • Conclusions:

    • Benign subcutaneous emphysema from an insect bite is exceptionally rare and requires differentiation from gas-forming infections.
    • While medical management is often sufficient, surgical debridement can be crucial for persistent cases, especially in immunocompromised individuals.