POCUS IOTW: Subcutaneous Emphysema

Posted on: May 7, 2018, by :
10yM who came to the ED after being shot by a bb gun.  He had no entry wound but did have swelling over his right forearm and thigh.  Below looks like there could be a foreign body under the skin but this is actually Subcutaneous Emphysema!
Before you say it…Subcutaneous emphysema, strictly speaking, refers to air in the subcutaneous tissues.  But the term is generally used to describe any soft tissue emphysema of the body wall or limbs.  The patient had such a force from the bb gun that air was ‘injected’ into the skin causing localized trauma with posterior shadowing.  As there was no actual entry wound no foreign body was suspected.
“The information in these cases has been changed to protect patient identity and confidentiality. The images are only provided for educational purposes and members agree not to download them, share them, or otherwise use them for any other purpose.”

Amit Patel

Pediatric Emergency Medicine Attending at Children's National Health System
Amit was born and raised in the United Kingdom and moved to the US after finishing medical school at St. George’s.He completed residency at Maimonides and loved it so much he stayed on for fellowship.In his 6 years in Brooklyn he met his wife, Neha, they had a big Indian wedding (500+ people, but no elephants) and had a daughter (Mila) together.Now his daughter is 3 and the latest (and final) addition to the family (Abhi) is 1.Even though he came to call Brooklyn home he decided to leave ‘the city that never sleeps’ to arrive in ‘Capital City’ to join the faculty at CNMC while also pursuing a one-year Emergency Ultrasound Fellowship.He lives in Columbia, Maryland and is thoroughly enjoying having a parking space.In his free time he loves to play and watch soccer, catch-up on his British TV shows, spend time with his family and has been known to quite enjoy a good brunch.

Latest posts by Amit Patel (see all)

Leave a Reply

Your email address will not be published. Required fields are marked *