A 74-year-old male patient receiving ventilatory support due to aspiration pneumonia developed bilateral pneumothorax, pneumopericardium, pneumomediastinum, pneumo-retroperitoneum, and subcutaneous emphysema, after manual ventilation while being transferred from the intensive care unit (ICU) to the operating room (OR). These complications were assumed to be secondary to inappropriate manual ven...

The presence of free air within a hiatal hernia sac is an uncommon reported entity. This finding has been described in the surgical literature1-4 secondary to incarcerated hiatal hernias complicated by gastric ulceration and perforation. There have, however, been no reports of this entity in the radiology literature. Our patient presented to the emergency department complaining of epigastric pa...

A 21 year old young male, known asthmatic and chronic smoker presented with history of fever, cough with expectoration and exacerbation of breathlessness of 2 days duration. After admission he was treated with bronchodilators and antibiotics. After six hours of admission he developed severe retrosternal chest pain and respiratory distress. His BP was 110/80 mmHg, pulse rate >120/m, respiratory ...

A 57-year-old woman with a medical history of hiatal hernia, peptic ulcer disease, alcoholism, and schizophrenia was admitted to the emergency department with epigastric pain and fever. The patient had not been taking her prescribed proton pump inhibitors. A peptic ulcer perforation (1.5cm) in the hiatal hernia sac was discovered during gastroscopy, and an attempt to close the perforation with ...

INTRODUCTION We report a case of subcutaneous emphysema and pneumomediastinum that presented postoperatively after tracheal extubation. CLINICAL PICTURE A 51-year-old man had an uneventful anaesthesia lasting about 6.5 hours. Intubation was performed by a very junior medical officer and was considered difficult. He developed sore throat, chest pain, numbness of both hands and palpable crepitu...

Background: The development of soft tissue cervicofacial emphysema after dental treatment is a rare complication, with few descriptions in the dermatologic literature. It is usually restricted to only moderate local swelling. However, spread of larger amounts of air into deeper spaces may sometimes cause serious complications, including airway compromise due to accumulation of air in the retrop...