RESUMO
Subcutaneous emphysema is the fortuitous entry of air into subcutaneous tissue. Its occurrence in the head, neck, and mediastinum is a result of trauma or surgery. This case describes a 45-year male who presented with massive progressive subcutaneous emphysema, spreading from the peri-orbital area to the upper mediastinum, secondary to tracheal injury following blunt trauma sustained two days before presentation. We present this case to emphasize on simple management and observation of minor laryngo-tracheal trauma which can prevent further unexpected complications. In this case, we used an unconventional approach of making blowhole incision which is not in routine practice. Key Words: Subcutaneous emphysema, Blowhole, Neck trauma.
Assuntos
Enfisema Mediastínico , Lesões do Pescoço , Enfisema Subcutâneo , Ferimentos não Penetrantes , Dor no Peito , Humanos , Masculino , Enfisema Mediastínico/etiologia , Enfisema Mediastínico/cirurgia , Mediastino , Pescoço/cirurgia , Lesões do Pescoço/complicações , Lesões do Pescoço/cirurgia , Enfisema Subcutâneo/etiologia , Ferimentos não Penetrantes/complicações , Ferimentos não Penetrantes/cirurgiaRESUMO
Rhabdomyosarcoma (RMS) is a soft tissue neoplasm of mesenchymal origin. It is a commonly encountered malignant tumor amongst pediatric patients, yet relatively rare in adults. It usually involves the head and neck region, genitourinary organs and retroperitoneal structures. In adults, the most commonly affected area is the head and neck region. We present here a case of a 30-year-old male patient with a primary squamous cell carcinoma of the tongue (T1, N0, M1), successfully cured with surgery and chemoradiotherapy and later on development of metachronous ipsilateral lesion on the left lower alveolus. Biopsy was consistent with spindle cell RMS. Immunohistochemistry demonstrated positivity for desmin, vimentin and myogenin, thus confirming the mesenchymal origin. With the best of our literature search, this is an exceptional case presenting two malignant lesions with diverse genetic origins, diagnosed at stage 1 and giving a favorable outcome.