Favourable Experience with M-Mode Sonography in the Diagnosis of Pneumothorax in Two Patients with Thoracic Subcutaneous Emphysema
Introduction. Thoracic subcutaneous emphysema may be caused by various pathologies. In mechanically ventilated patients, timely diagnostic workup is particularly important, as the presence of subcutaneous surgical emphysema may indicate pneumothorax, representing a risk factor for the development of...
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| Format: | Article |
| Language: | English |
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Wiley
2014-01-01
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| Series: | Case Reports in Radiology |
| Online Access: | http://dx.doi.org/10.1155/2014/906127 |
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| author | T. Berlet R. Etter |
| author_facet | T. Berlet R. Etter |
| author_sort | T. Berlet |
| collection | DOAJ |
| description | Introduction. Thoracic subcutaneous emphysema may be caused by various pathologies. In mechanically ventilated patients, timely diagnostic workup is particularly important, as the presence of subcutaneous surgical emphysema may indicate pneumothorax, representing a risk factor for the development of life threatening tension pneumothorax. Thoracic ultrasound is of proven value for the detection of pneumothorax but has so far been considered of little value in the context of subcutaeneous emphysema, due to poor visibility of anatomic structures. Case Presentation. We present the successful use of diagnostic M-mode sonography in two mechanically ventilated patients who developed thoracic subcutaneous emphysema. In both cases B-mode sonography was inconclusive. Conclusion. M-mode sonography may be more sensitive than B-mode sonography in the detection of lung sliding and could become a useful diagnostic tool when pneumothorax needs to be ruled in or ruled out and visibility of the pleura is limited. |
| format | Article |
| id | doaj-art-7fab127e779a40afa5bcc2e3fcef588f |
| institution | Kabale University |
| issn | 2090-6862 2090-6870 |
| language | English |
| publishDate | 2014-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Radiology |
| spelling | doaj-art-7fab127e779a40afa5bcc2e3fcef588f2025-08-20T03:35:20ZengWileyCase Reports in Radiology2090-68622090-68702014-01-01201410.1155/2014/906127906127Favourable Experience with M-Mode Sonography in the Diagnosis of Pneumothorax in Two Patients with Thoracic Subcutaneous EmphysemaT. Berlet0R. Etter1Department of Intensive Care Medicine, Inselspital, Bern University Hospital and University of Bern, 3010 Bern, SwitzerlandDepartment of Intensive Care Medicine, Inselspital, Bern University Hospital and University of Bern, 3010 Bern, SwitzerlandIntroduction. Thoracic subcutaneous emphysema may be caused by various pathologies. In mechanically ventilated patients, timely diagnostic workup is particularly important, as the presence of subcutaneous surgical emphysema may indicate pneumothorax, representing a risk factor for the development of life threatening tension pneumothorax. Thoracic ultrasound is of proven value for the detection of pneumothorax but has so far been considered of little value in the context of subcutaeneous emphysema, due to poor visibility of anatomic structures. Case Presentation. We present the successful use of diagnostic M-mode sonography in two mechanically ventilated patients who developed thoracic subcutaneous emphysema. In both cases B-mode sonography was inconclusive. Conclusion. M-mode sonography may be more sensitive than B-mode sonography in the detection of lung sliding and could become a useful diagnostic tool when pneumothorax needs to be ruled in or ruled out and visibility of the pleura is limited.http://dx.doi.org/10.1155/2014/906127 |
| spellingShingle | T. Berlet R. Etter Favourable Experience with M-Mode Sonography in the Diagnosis of Pneumothorax in Two Patients with Thoracic Subcutaneous Emphysema Case Reports in Radiology |
| title | Favourable Experience with M-Mode Sonography in the Diagnosis of Pneumothorax in Two Patients with Thoracic Subcutaneous Emphysema |
| title_full | Favourable Experience with M-Mode Sonography in the Diagnosis of Pneumothorax in Two Patients with Thoracic Subcutaneous Emphysema |
| title_fullStr | Favourable Experience with M-Mode Sonography in the Diagnosis of Pneumothorax in Two Patients with Thoracic Subcutaneous Emphysema |
| title_full_unstemmed | Favourable Experience with M-Mode Sonography in the Diagnosis of Pneumothorax in Two Patients with Thoracic Subcutaneous Emphysema |
| title_short | Favourable Experience with M-Mode Sonography in the Diagnosis of Pneumothorax in Two Patients with Thoracic Subcutaneous Emphysema |
| title_sort | favourable experience with m mode sonography in the diagnosis of pneumothorax in two patients with thoracic subcutaneous emphysema |
| url | http://dx.doi.org/10.1155/2014/906127 |
| work_keys_str_mv | AT tberlet favourableexperiencewithmmodesonographyinthediagnosisofpneumothoraxintwopatientswiththoracicsubcutaneousemphysema AT retter favourableexperiencewithmmodesonographyinthediagnosisofpneumothoraxintwopatientswiththoracicsubcutaneousemphysema |