Pneumoscrotum as Complication of Blunt Thoracic Trauma: A Case Report
Introduction. Pneumoscrotum is a rare clinical entity. It presents with swollen scrotal sac and sometimes with palpable crepitus. It has many etiologies. One of them is due to blunt trauma of the thoracic cage, causing pneumothorax and/or pneumomediastinum. Case Presentation. We report the case of a...
Saved in:
| Main Authors: | , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2013-01-01
|
| Series: | Case Reports in Surgery |
| Online Access: | http://dx.doi.org/10.1155/2013/392869 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1832567235881730048 |
|---|---|
| author | Eftychios Lostoridis Konstantinos Gkagkalidis Nikolaos Varsamis Nikolaos Salveridis Georgios Karageorgiou Spyridon Kampantais Paraskevi Tourountzi Konstantinos Pouggouras |
| author_facet | Eftychios Lostoridis Konstantinos Gkagkalidis Nikolaos Varsamis Nikolaos Salveridis Georgios Karageorgiou Spyridon Kampantais Paraskevi Tourountzi Konstantinos Pouggouras |
| author_sort | Eftychios Lostoridis |
| collection | DOAJ |
| description | Introduction. Pneumoscrotum is a rare clinical entity. It presents with swollen scrotal sac and sometimes with palpable crepitus. It has many etiologies. One of them is due to blunt trauma of the thoracic cage, causing pneumothorax and/or pneumomediastinum. Case Presentation. We report the case of an 82-year-old male who was transferred to the Emergency Department with signs of respiratory distress after a blunt chest trauma. A CT scan was obtained, and bilateral pneumothoraces with four broken ribs were disclosed. Subcutaneous emphysema expanding from the eyelids to the scrotum was observed, and a chest tube was inserted on the right side with immediate improvement of the vital signs of the patient. Discussion. Pneumoscrotum has three major etiologies: (a) local introduction of air or infection from gas-producing bacteria, (b) pneumoperitoneum, and (c) air accumulation from lungs, mediastinum, or retroperitoneum. These sources account for most of the cases described in the literature. Treatment should be individualized, and surgical consultation should be obtained in all cases. Conclusion. Although pneumoscrotum itself is a benign entity, the process by which air accumulates in the scrotum must be clarified, and treatment must target the primary cause. |
| format | Article |
| id | doaj-art-75b0386a157c4cbe91c56a9715aca45f |
| institution | Kabale University |
| issn | 2090-6900 2090-6919 |
| language | English |
| publishDate | 2013-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Surgery |
| spelling | doaj-art-75b0386a157c4cbe91c56a9715aca45f2025-02-03T01:02:00ZengWileyCase Reports in Surgery2090-69002090-69192013-01-01201310.1155/2013/392869392869Pneumoscrotum as Complication of Blunt Thoracic Trauma: A Case ReportEftychios Lostoridis0Konstantinos Gkagkalidis1Nikolaos Varsamis2Nikolaos Salveridis3Georgios Karageorgiou4Spyridon Kampantais5Paraskevi Tourountzi6Konstantinos Pouggouras71st Department of Surgery, General Hospital of Kavala, Agios Silas, 65500 Kavala, Greece1st Department of Urology, G. Gennimatas General Hospital, Aristotle University of Thessaloniki, 41 Ethnikis Amynis Street, 54635 Thessaloniki, Greece1st Department of Surgery, General Hospital of Kavala, Agios Silas, 65500 Kavala, Greece1st Department of Surgery, Theagenio Cancer Hospital of Thessaloniki, Alexandrou Simeonidi 2, 54007 Thessaloniki, Greece1st Department of Surgery, General Hospital of Kavala, Agios Silas, 65500 Kavala, Greece1st Department of Urology, G. Gennimatas General Hospital, Aristotle University of Thessaloniki, 41 Ethnikis Amynis Street, 54635 Thessaloniki, Greece1st Department of Respiratory Medicine, General Hospital of Kavala, Agios Silas, 65500 Kavala, Greece1st Department of Surgery, General Hospital of Kavala, Agios Silas, 65500 Kavala, GreeceIntroduction. Pneumoscrotum is a rare clinical entity. It presents with swollen scrotal sac and sometimes with palpable crepitus. It has many etiologies. One of them is due to blunt trauma of the thoracic cage, causing pneumothorax and/or pneumomediastinum. Case Presentation. We report the case of an 82-year-old male who was transferred to the Emergency Department with signs of respiratory distress after a blunt chest trauma. A CT scan was obtained, and bilateral pneumothoraces with four broken ribs were disclosed. Subcutaneous emphysema expanding from the eyelids to the scrotum was observed, and a chest tube was inserted on the right side with immediate improvement of the vital signs of the patient. Discussion. Pneumoscrotum has three major etiologies: (a) local introduction of air or infection from gas-producing bacteria, (b) pneumoperitoneum, and (c) air accumulation from lungs, mediastinum, or retroperitoneum. These sources account for most of the cases described in the literature. Treatment should be individualized, and surgical consultation should be obtained in all cases. Conclusion. Although pneumoscrotum itself is a benign entity, the process by which air accumulates in the scrotum must be clarified, and treatment must target the primary cause.http://dx.doi.org/10.1155/2013/392869 |
| spellingShingle | Eftychios Lostoridis Konstantinos Gkagkalidis Nikolaos Varsamis Nikolaos Salveridis Georgios Karageorgiou Spyridon Kampantais Paraskevi Tourountzi Konstantinos Pouggouras Pneumoscrotum as Complication of Blunt Thoracic Trauma: A Case Report Case Reports in Surgery |
| title | Pneumoscrotum as Complication of Blunt Thoracic Trauma: A Case Report |
| title_full | Pneumoscrotum as Complication of Blunt Thoracic Trauma: A Case Report |
| title_fullStr | Pneumoscrotum as Complication of Blunt Thoracic Trauma: A Case Report |
| title_full_unstemmed | Pneumoscrotum as Complication of Blunt Thoracic Trauma: A Case Report |
| title_short | Pneumoscrotum as Complication of Blunt Thoracic Trauma: A Case Report |
| title_sort | pneumoscrotum as complication of blunt thoracic trauma a case report |
| url | http://dx.doi.org/10.1155/2013/392869 |
| work_keys_str_mv | AT eftychioslostoridis pneumoscrotumascomplicationofbluntthoracictraumaacasereport AT konstantinosgkagkalidis pneumoscrotumascomplicationofbluntthoracictraumaacasereport AT nikolaosvarsamis pneumoscrotumascomplicationofbluntthoracictraumaacasereport AT nikolaossalveridis pneumoscrotumascomplicationofbluntthoracictraumaacasereport AT georgioskarageorgiou pneumoscrotumascomplicationofbluntthoracictraumaacasereport AT spyridonkampantais pneumoscrotumascomplicationofbluntthoracictraumaacasereport AT paraskevitourountzi pneumoscrotumascomplicationofbluntthoracictraumaacasereport AT konstantinospouggouras pneumoscrotumascomplicationofbluntthoracictraumaacasereport |