• Swiss medical weekly · Aug 1988

    Case Reports

    [Soft-tissue cervicofacial emphysema and pneumomediastinum caused by self injury].

    • C L Yattara-Baratti, R Hoffmann, and M Langlotz.
    • Departement Chirurgie, Röntgendiagnostisches Zentralinstitut, Universitätsspital Zürich.
    • Swiss Med Wkly. 1988 Aug 9;118(31-32):1135-7.

    AbstractA prison inmate was referred to us for diagnostic procedures and therapy due to a combination of pneumomediastinum with emphysema of neck and face. External injuries were absent and pathogenesis remained uncertain until thorough examination of the patient revealed two intraoral wounds, presumably from a needle, reaching into the maxillary sinus. This large subcutaneous emphysema of the face, neck and mediastinum was the result of an exaggerated Valsalva maneuver. With this self-inflicted injury, unknown to us, the prisoner achieved the desired immediate admission to hospital.

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