An uncommon complication in the drainage of a chest wall skin abscess: pneumothorax and subcutaneous emphysema

Year 2018, Volume: 5 Issue: 2, 116 - 118, 28.02.2018

Mustafa Enes Demirel , Shukri Said Mohamed Ibrahim Hussein Ali Abdishakur Mohamed Abdi Naim Koku

https://doi.org/10.17546/msd.390936

Abstract

Skin and soft tissue infections are frequent cases of
emergency services. Treatment of these patients is usually performed ambulatory
in the form of abscess drainage and oral antibiotic therapy.

In this article, it was aimed to draw attention to the
fact that a rib fracture may be seen after an abscess drainage made by
inexperienced persons and that might lead to presentation
with more complicated situation.

Keywords

Child , subcutaneous abscess , abscess drainage , pneumothorax , emphysema

References

• 1. Ladd AP, Levy MS, Quilty J. Minimally invasive technique in treatment of complex, subcutaneous abscesses in children. Journal of pediatric surgery. 2010;45(7):1562-6.
• 2. Bruns NE, Shah MA, Dorsey AN, Ponsky TA, Soldes OS. Pediatric surgery–a changing field: national trends in pediatric surgical practice. Journal of pediatric surgery. 2016;51(6):1034-8.
• 3. Duong M, Markwell S, Peter J, Barenkamp S. Randomized, controlled trial of antibiotics in the management of community-acquired skin abscesses in the pediatric patient. Annals of emergency medicine. 2010;55(5):401-7.
• 4. Stevens DL, Bisno AL, Chambers HF, Dellinger EP, Goldstein EJ, Gorbach SL, et al. Practice guidelines for the diagnosis and management of skin and soft tissue infections: 2014 update by the Infectious Diseases Society of America. Clinical infectious diseases. 2014;59(2):e10-e52.
• 5. Glenn IC, Bruns NE, Craner D, Gibbons AT, Hayek D, McNinch NL, et al. Same-day discharge after incision and drainage of soft-tissue abscess in diaper-age children is safe and effective. Pediatric surgery international. 2017;33(5):601-4.
• 6. Schute L. Pneumothorax and subcutaneous emphysema following rib fracture. Deutsche medizinische Wochenschrift (1946). 2007;132(13):698; author reply
• 7. García VC, Sagarra LA, Japón SF. Pneumomediastinum and subcutaneous emphysema due to ribs fractures. Medicina clínica. 2014;143(1):48.