Cases reported "Iatrogenic Disease"

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1/13. Subcutaneous, orbital, and mediastinal emphysema secondary to the use of an air-abrasive device.

    subcutaneous emphysema can occur whenever compressed air is employed intraorally. A case is presented of subcutaneous, orbital, and mediastinal emphysema subsequent to the use of an air-abrasive device. The case is believed to be the first reported case of an air-abrasive-related emphysema and is presented as a cautionary report.
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keywords = emphysema
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2/13. Iatrogenic pneumomediastinum and facial emphysema after endodontic treatment.

    subcutaneous emphysema is well known, but diffusion of gas into the mediastinum is not so common, particularly if it is caused by treatment of a root canal without apparent osseous fenestration or mucoperiostal lesions. We report a case of iatrogenic pneumomediastinum and facial emphysema after endodontic treatment. The diagnosis was confirmed by computed tomography, and the patient recovered after treatment with intravenous antibiotics and analgesia.
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ranking = 0.85714285714286
keywords = emphysema
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3/13. subcutaneous emphysema of the hand caused by the suction drain -- a case report.

    subcutaneous emphysema of the hand can be related to non-infectious causes and most commonly high-pressure injection injuries. Surgical emphysema of the hand is rare. We report a case of surgical emphysema of the dorsum of the hand following the excision of a dorsal wrist ganglion when the inserted suction drain did not work properly, accompanied by the inadvertent compression of the patient's body. Conservative management was adequate; oedema and emphysema subsided in several days.
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ranking = 1.1428571428571
keywords = emphysema
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4/13. Pneumomediastinum and abdominal pain: which correlation?

    The case of a female patient with abdominal pain, fever and dyspnea appeared abruptly, is reported. Two days previously the patient underwent endoscopic colic polypectomy. Preliminary abdominal and chest X-ray showed colic and tenual air-fluid levels, a modest amount of pneumomediastinum and soft tissue emphysema of the neck. The cause of the latter finding was referable to five sites of origin: the lung parenchyma, mediastinal airways, the esophagus, the neck and the abdominal cavity. For symptom worsening thoracoabdominal CT was performed. It confirmed the pneumomediastinum and soft tissue emphysema of the neck and presence of intra and retroperitoneal free air as for perforation. colonoscopy is a routine procedure in the diagnosis and therapy of colonopathies, but colic iatrogenic perforation is a dangerous complication not to be underestimated.
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ranking = 0.28571428571429
keywords = emphysema
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5/13. Surgical emphysema in the neck as a result of a dental procedure.

    We report the development of subcutaneous emphysema in a middle-aged woman that occurred several hours after she had undergone a dental restoration procedure. The patient presented to the emergency department, and she was admitted for observation and prophylactic antibiotic coverage. She recovered in 3 days without further intervention and was discharged.
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ranking = 0.71428571428571
keywords = emphysema
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6/13. Surgical emphysema following a restorative procedure: A case report.

    Surgical emphysema is a rare complication following a restorative procedure, despite the use of air-driven handpieces. Although most cases resolve spontaneously, it should be correctly managed to avoid potentially life-threatening situations, such as pneumomediastinum and pneumothorax. CLINICAL RELEVANCE: Surgical emphysema, although rare, can occur following certain dental procedures. It should be avoidable but, when it occurs, appropriate management is essential.
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ranking = 0.85714285714286
keywords = emphysema
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7/13. Iatrogenic subcutaneous cervicofacial and mediastinal emphysema.

    subcutaneous emphysema of the head, neck and mediastinum occurs with a variety of disease processes. Most cases involve the passive escape of air from the aerodigestive tract into subcutaneous tissues. The many causes include head and neck surgical procedures, tracheal and esophageal trauma, intraoral trauma, foreign bodies and neoplasms of the aerodigestive tract, and pulmonary barotrauma from mechanical ventilation or in patients with pulmonary disorders. subcutaneous emphysema secondary to active injection of air has recently been reported following certain dental procedures. An interesting case of diffuse cervicofacial and mediastinal emphysema following a difficult extraction of an infected lower molar tooth with a high-pressure air drill is presented. The patient required airway observation and high-dose antibiotic therapy. Early recognition of this unique problem is essential in preventing such life-threatening complications as airway obstruction, mediastinitis, deep neck infection, and cardiac failure. Diagnostic and therapeutic recommendations are included.
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ranking = 1
keywords = emphysema
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8/13. Iatrogenic pneumomediastinum after endodontic therapy.

    An unusual case of pneumomediastinum caused by subcutaneous emphysema occurring after the use of hydrogen peroxide solution during root canal treatment is described in a 30-year-old man. A thorough search of the available literature failed to reveal similar cases. A review of the literature, including pathogenesis, clinical and radiographic features, and management of this condition, is presented.
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ranking = 0.14285714285714
keywords = emphysema
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9/13. Iatrogenic retropharyngeal emphysema with impending airway obstruction.

    The causes, diagnosis, sequelae, and treatment of interstitial emphysema of the face, neck, and thorax have been previously described in the medical and dental literature and are reviewed here. We present a unique case of a patient who, following dental amalgam restoration, developed severe retropharyngeal emphysema with impending airway obstruction, cervicofacial subcutaneous emphysema, and pneumomediastinum. Management consisted of urgent tracheotomy, broad-spectrum prophylactic antibiotic coverage, close observation, and reassurance. The likely mechanisms of precipitation and extension of the emphysema in this patient are discussed.
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ranking = 1.1428571428571
keywords = emphysema
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10/13. mediastinal emphysema in mountain climbers: report of two cases and review.

    Two cases of mediastinal emphysema occurring in healthy individuals climbing to the summit of Mount Rainier (4,393 m.) are described. In both, the condition was probably attributable to a voluntary, forced pressure breathing technique--a modified valsalva maneuver. The various circumstances in which mediastinal emphysema may occur are discussed, along with its possible serious complication of cardiorespiratory compromise. The means of diagnosis are presented, emphasizing that cases in which the important finding of subcutaneous emphysema is absent may be those in which the danger is greatest. Therapeutic measures that occasionally may be necessary are outlined, though the condition is usually a benign one that subsides without specific treatment.
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ranking = 1
keywords = emphysema
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