case_images: PMC5368373_01
case_images: CT revealed diffuse subcutaneous emphysema (white arrows), pneumomediastinum (black dotted arrow), and a small pneumothorax of the right lung (black arrow).
case_images: CRIEM2017-7589057.001.jpg
case_images: PMC5368373_01_CRIEM2017-7589057.001.jpg
case_images: fig1
case_images: Chest computed tomography (CT) revealed serial fractures in ribs 7-9 on the right, accompanied by underlying laceration of the visceral and parietal pleura and adjacent lung parenchyma, resulting in extensive subcutaneous emphysema and distinct pneumomediastinum (Figures 1 and 2). Furthermore, a small pneumothorax was noted on the right side (Figure 1).
case_images: The image shows a displaced fracture of the 7th rib (black arrow). White arrows outline diffuse thoracic subcutaneous emphysema of the lateral chest wall.
case_images: CRIEM2017-7589057.002.jpg
case_images: PMC5368373_01_CRIEM2017-7589057.002.jpg
case_images: fig2
case_images: Chest computed tomography (CT) revealed serial fractures in ribs 7-9 on the right, accompanied by underlying laceration of the visceral and parietal pleura and adjacent lung parenchyma, resulting in extensive subcutaneous emphysema and distinct pneumomediastinum (Figures 1 and 2).
case_images: X-ray of the right humeral shaft, indicating emphysema.
case_images: CRIEM2017-7589057.003.jpg
case_images: PMC5368373_01_CRIEM2017-7589057.003.jpg
case_images: fig3
case_images: A right humeral shaft fracture was excluded by conventional radiography, which also confirmed subcutaneous emphysema in both upper arm compartments (Figure 3).
case_images: Chest X-ray after insertion of thorax drainage.
case_images: CRIEM2017-7589057.004.jpg
case_images: PMC5368373_01_CRIEM2017-7589057.004.jpg
case_images: fig4
case_images: He was instructed to avoid any strenuous manoeuvres, such as forced expiration or the valsalva manoeuvre, which could potentially lead to increased pulmonary pressure (Figure 4).