Pneumomediastinum after external dacryocystorhinostomy.
A 73-year-old man had right chronic epiphora for many years. After uneventful external dacryocystorhinostomy, he developed dyspnea and neck swelling after forcefully blowing his nose. CT showed diffuse cervicofacial subcutaneous emphysema and pneumomediastinum. He was admitted to prevent further cardiovascular complications. Pneumomediastinum is a rare complication of routine dacryocystorhinostomy. Supportive treatment to prevent additional air trapping is mandatory.
Chu
Yen-Chang
YC
Division of Oculoplasty, Department of Ophthalmology, Chang Gung Memorial Hospital, Guei-Shan, Tao-Yuan, Taiwan.
Ma
Lih
L
D000368:Aged; D003608:Dacryocystorhinostomy / Q000009:adverse effects*; D006801:Humans; D007766:Lacrimal Apparatus Diseases / Q000601:surgery; D008297:Male; D008478:Mediastinal Emphysema / Q000000981:diagnostic imaging / Q000209:etiology*; D011009:Pneumoconiosis / Q000150:complications; D013352:Subcutaneous Emphysema / Q000000981:diagnostic imaging / Q000209:etiology; D014057:Tomography, X-Ray Computed; D014397:Tuberculosis, Pulmonary / Q000150:complications