Subcutaneous emphysema of the scrotum (pneumoscrotum) due to traumatic pneumothorax: a case report
© Simaioforidis et al; licensee BioMed Central Ltd. 2008
Received: 10 October 2008
Accepted: 01 November 2008
Published: 01 November 2008
Subcutaneous emphysema of the scrotum due to traumatic pneumothorax is a rare medical situation and only a few cases are reported in the literature.
We present the case of a 22 year old man who was admitted to the emergency department after a motorcycle accident having a painless crepitant scrotum and chest excoriations. Further evaluation revealed subcutaneous emphysema of the scrotum caused by left pneumothorax.
In conclusion, subcutaneous emphysema of the scrotum (or pneumoscrotum) due to traumatic pneumothorax is not an urgent condition and assessment should be supportive with intervention directed at the etiology, e.g. the pneumothorax.
Subcutaneous emphysema of the scrotum (or pneumoscrotum) is a rare condition and receives little or no discussion in standard texts of urology. This paper presents a case of pneumoscrotum due to traumatic pneumothorax and discusses its clinical course, findings and treatment strategy with a review of the relevant literature.
Rapture of the alveoli and expansion of the air through the mediastinum in the subcutaneous area .
Expansion of the emphysema along the Scarpa's Fascia .
In the case described above, spread of the subcutaneous emphysema towards scrotum is the most "desirable" potential, given the fact that if this expansion was towards neck it could obstruct the upper airways and lead to suffocation.
We can support that subcutaneous emphysema of the scrotum due to traumatic pneumothorax (blunt trauma), despite its impressive clinical presentation, is not really an urgent situation and assessment should be supportive with intervention directed at the etiology, that is the pneumothorax .
Written informed consent was obtained from the patient for publication of this case report and accompanying images. A copy of the written consent is available for review by the Editor-in Chief of this journal.
Cardio Pulmonary Resuscitation.
- Stavem K, Hoivik B: [Pneumoscrotum after air leak from tension pneumothorax]. Tidsskr Nor Laegeforen. 116 (10): 1214-5. 1996 Apr 20
- Humpheys F, Hewetson KA, Dellipianni AW: Massive subcutaneous emphysema following colonoscopy. Endoscopy. 1984, 16 (4): 160-161. 10.1055/s-2007-1018566.View ArticleGoogle Scholar
- Casey RG, Al-Dousari S, Murphy D, Power RE: Chest drain insertion may result in the acute scrotum. Scand J Urol N ephrol. 2006, 40 (1): 78-9. 10.1080/00365590500522718.View ArticleGoogle Scholar
- Wakabayashi Y, Bush WH: Pneumoscrotum after blunt chest trauma. J Emerg Med. 1994, 12 (5): 603-5. 10.1016/0736-4679(94)90410-3.View ArticlePubMedGoogle Scholar
- Firman R, Heiselman D, Lloyd T, Mardesich P: Pneumoscrotum. Ann Emerg Med. 1993, 22 (8): 1353-6. 10.1016/S0196-0644(05)80122-2.View ArticlePubMedGoogle Scholar
- Aslan Y, Sarihan H, Dinc H, Gedik Y, Aksoy A, Dereci S: Gastric perforation presenting as bilateral scrotal pneumatoceles. Turk J pediatr. 1999, 41 (2): 267-71.PubMedGoogle Scholar
- Millmond SH, Goldman SM: Pneumoscrotum after spontaneous pneumothorax with air leak. J Urol. 1991, 145 (6): 1271-1272.PubMedGoogle Scholar
- Heimbach D, Hofmockel G, Wirth M, Frohmuller H: Pneumoscrotum: Case report and review of the literature. Urologe A. 1993, 32 (6): 503-506.PubMedGoogle Scholar
- Casey RG, Al-Dousari S, Murphy D, Power RE: Chest drain insertion may result in the acute scrotum. Scand J Urol Nephrol. 2006, 40 (1): 78-79. 10.1080/00365590500522718.View ArticlePubMedGoogle Scholar
- Watson HS, Klugo RC, Coffield KS: Pneumoscrotum: report of two cases and rewiew of the mechanisms or its development. Urology. 1992, 40 (6): 517-521. 10.1016/0090-4295(92)90406-M.View ArticlePubMedGoogle Scholar
- Mateos Colino A, Golpe Gomez R, Gonzalez Rodriguez A, Sousa Escandon A, Gonzalez Uribarri C, Seirulo Salas M: Neumoescroto secundario a efisema sudcutaneo masivo tras el drenale de un neumotorax espontaneo. Actas Urol Esp. 2004, 606-609.Google Scholar
This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.