case_images: PMC9980838_01
case_images: Bilateral chest subcutaneous emphysema extending to the neck.
case_images: cureus-0015-00000034428-i01.jpg
case_images: PMC9980838_01_cureus-0015-00000034428-i01.jpg
case_images: FIG1
case_images: On physical examination, he was breathing comfortably, but there was a notable increase in the edema causing swelling on the face that prevented the eyes from completely opening, as well as swelling of the neck and chest bilaterally (Figure 1) with crepitus on palpitation and a decrease in breath sounds bilaterally.
case_images: Bilateral severe subcutaneous emphysema (yellow arrowheads). Fistulous tract at the site of earlier chest tube (red arrows) in communication with the subcutaneous tissues. Right lower lobe collapse/consolidation (blue arrows). Rib fracture (blue asterisk).
case_images: cureus-0015-00000034428-i02.jpg
case_images: PMC9980838_01_cureus-0015-00000034428-i02.jpg
case_images: FIG2