title: [Subcutaneous cervical and left thoracic emphysema in a 49-year-old woman on ventilation].
abstract: We report the case of a 49-year-old woman who was admitted with community-acquired pneumonia. The medical state worsened despite administration of antibiotics. She was intubated and ventilated because of respiratory distress. Several hours after intubation, she developed massive subcutaneous emphysema. The bronchoscopy showed tracheal transmural rupture 3 cm long on the posterior wall of the trachea. The high-risk surgery and massive doses of catecholamine favoured conservative treatment with bilateral endobronchial intubation and veno-venous extracorporeal membrane oxygenation. The patient made a full recovery.
authors.affiliation: I. Medizinische Klinik (Kardiologie, Angiologie, Pneumologie, Intensivmedizin und klinische Hämostaseologie), Universitätsmedizin Mannheim, Theodor-Kutzer-Ufer 1-3, 68167, Mannheim, Deutschland. ibrahim.el-battrawy@umm.de.
authors.forename: I
authors.initials: I
authors.lastname: El-Battrawy
authors.affiliation: I. Medizinische Klinik (Kardiologie, Angiologie, Pneumologie, Intensivmedizin und klinische Hämostaseologie), Universitätsmedizin Mannheim, Theodor-Kutzer-Ufer 1-3, 68167, Mannheim, Deutschland.
authors.forename: D
authors.initials: D
authors.lastname: Frambach
authors.affiliation: I. Medizinische Klinik (Kardiologie, Angiologie, Pneumologie, Intensivmedizin und klinische Hämostaseologie), Universitätsmedizin Mannheim, Theodor-Kutzer-Ufer 1-3, 68167, Mannheim, Deutschland.
authors.forename: M
authors.initials: M
authors.lastname: Behnes
authors.affiliation: I. Medizinische Klinik (Kardiologie, Angiologie, Pneumologie, Intensivmedizin und klinische Hämostaseologie), Universitätsmedizin Mannheim, Theodor-Kutzer-Ufer 1-3, 68167, Mannheim, Deutschland.
authors.forename: B
authors.initials: B
authors.lastname: Münz
authors.affiliation: I. Medizinische Klinik (Kardiologie, Angiologie, Pneumologie, Intensivmedizin und klinische Hämostaseologie), Universitätsmedizin Mannheim, Theodor-Kutzer-Ufer 1-3, 68167, Mannheim, Deutschland.
authors.forename: R
authors.initials: R
authors.lastname: Lehmann
authors.affiliation: I. Medizinische Klinik (Kardiologie, Angiologie, Pneumologie, Intensivmedizin und klinische Hämostaseologie), Universitätsmedizin Mannheim, Theodor-Kutzer-Ufer 1-3, 68167, Mannheim, Deutschland.
authors.forename: M
authors.initials: M
authors.lastname: Borggrefe
authors.affiliation: I. Medizinische Klinik (Kardiologie, Angiologie, Pneumologie, Intensivmedizin und klinische Hämostaseologie), Universitätsmedizin Mannheim, Theodor-Kutzer-Ufer 1-3, 68167, Mannheim, Deutschland.
authors.forename: I
authors.initials: I
authors.lastname: Akin
mesh_terms: D003131:Combined Modality Therapy / Q000379:methods; D017714:Community-Acquired Infections / Q000175:diagnosis / Q000628:therapy*; D015199:Extracorporeal Membrane Oxygenation / Q000379:methods*; D005260:Female; D006801:Humans; D007442:Intubation, Intratracheal / Q000379:methods*; D008875:Middle Aged; D011656:Pulmonary Emphysema / Q000175:diagnosis / Q000628:therapy*; D012128:Respiratory Distress Syndrome / Q000175:diagnosis / Q000628:therapy*; D013352:Subcutaneous Emphysema / Q000175:diagnosis / Q000628:therapy*; D016896:Treatment Outcome
keywords: Conservative treatment; Extracorporeal membrane oxygenation; Intubation, intratracheal; Pneumonia; Tracheal rupture, post-intubation