Pneumoscrotum: A rare complication of ruptured emphysema bullae

Abstract

Subcutaneous emphysema and pneumoscrotum due to spontaneous pneumothorax is a rare clinical situation. We present the case of an 82 year old man who was admitted to the emergency department in state of respiratory distress and scrotum increased in size, painful and rapidly progressive installation. Clinical evaluation revealed scrotal emphysema associated with diffuse subcutaneous emphysema in the trunk, the face and both upper limbs. The treatment of this pathology is not yet standardized; antibiotic therapy and close monitoring are recommended.

Keywords

• Pneumoscrotum
• Subcutaneous emphysema
• Necrotizing fasciitis
• Pneumothorax drainage