case_images: PMC7233891_01
case_images: Photograph of subcutaneous emphysema prior to VAC therapy (with permission).
case_images: 10.1177_2050313X20918989-fig1.jpg
case_images: PMC7233891_01_10.1177_2050313X20918989-fig1.jpg
case_images: fig1-2050313X20918989
case_images: During the (ventilatory) treatment on the ICU, the subcutaneous and mediastinal emphysema increased, resulting in swelling of the entire face, arms, and torso down to the scrotum (Figure 1).
case_images: Chest CT scan 1 week after admission to the ICU (with permission).
case_images: 10.1177_2050313X20918989-fig2.jpg
case_images: PMC7233891_01_10.1177_2050313X20918989-fig2.jpg
case_images: fig2-2050313X20918989
case_images: A new CT scan was performed 1 week after admission to the ICU, showing severe subcutaneous and mediastinal emphysema (Figure 2).
case_images: Photograph of VAC system in situ (with permission).
case_images: 10.1177_2050313X20918989-fig3.jpg
case_images: PMC7233891_01_10.1177_2050313X20918989-fig3.jpg
case_images: fig3-2050313X20918989
case_images: After elaborate consideration, it was decided to make two infraclavicular skin incisions and place VAC therapy on these incisions (ActiV.A.C., KCI Medical, -125 mm Hg; Figure 3).