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CT features of tension neck subcutaneous emphysema (tension pneumocollum).

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Pneumothorax during shoulder surgery.

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Anestesiavdelingen, Nordlandssykehuset Bodø, og, Institutt for klinisk medisin, Universitet i Oslo, og, Institutt for klinisk medisin, UiT Norges arktiske universitet, og, Fakultet for sykepleie og helsevitenskap, Nord universitet, Bodø.

Background: Pneumothorax following shoulder arthroscopy, although rare, is documented in over 30 PubMed case reports as occurring during or within 10 hours post-procedure.

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Tension pneumomediastinum with hemodynamic failure is a rare but life-threatening condition. Rapid decompression of the mediastinum by drainage is essential to save the patient's life. This report presents a case of tension pneumomediastinum that developed during conservative management of a pneumomediastinum associated with idiopathic pulmonary fibrosis.

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Giant bullous emphysema (GBE) is a progressive disease that commonly presents with severe progressive dyspnea attributed to the progressive destruction of alveolar walls and the formation of large air pockets, resulting in impaired gas exchange. This presentation is most commonly seen in young, thin male smokers. GBE poses an interesting and unique clinical challenge due to its radiologic findings, which can be easily mistaken for tension pneumothorax.

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Article Synopsis
  • Anti-MDA5 antibody-positive dermatomyositis (DM) can lead to interstitial lung disease (ILD) and rare complications like pneumomediastinum, which is the presence of air in the mediastinum.
  • A case was reported where a patient with DM-ILD experienced worsening symptoms, including hypotension and respiratory failure during treatment, due to increased subcutaneous and mediastinal emphysema.
  • Timely intervention with mediastinal drainage through video-assisted thoracoscopic surgery significantly improved the patient's condition, highlighting the need for quick diagnosis and treatment of these serious complications.
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