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Spontaneous Retropharyngeal Emphysema in a Paediatric Patient; Radiological Findings

Received: 9 June 2017    Accepted: 26 June 2017    Published: 2 August 2017
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Abstract

Retropharyngeal emphysema is a severe condition which may be life-threatening requiring urgent diagnosis and intervention. This condition may occur with subcutaneous emphysema of the cervical region and may also be complicated by mediastinal emphysema and pneumomediastinum. A 9-year-old Nigerian boy was admitted into the emergency unit of a foremost teaching hospital in South Western Nigeria with a 5-hour history of progressively worsening dyspnoea. There was a history of foreign body ingestion - a round plastic ball bearing. Several attempts to remove the foreign body were made by thrusting the fingers down his throat while holding him in a head down position. Urgent x-rays of the neck and chest were performed. The lateral x-ray of the soft tissue neck revealed widening lucency within the prevertebral soft tissue from the basiocciput, extending below the 7th cervical vertebra; which was indicative of spontaneous retropharyngeal emphysema. Streaks of air were also seen in the subcutaneous tissue of the neck. Retropharyngeal emphysema is seldom thought of by clinicians as a differential in the management of patients presenting with acute upper aerodigestive tract conditions. Health education to increase public awareness of the potential ills of some ‘socio-cultural’ practices is of paramount importance in order to reduce the incidence of this potentially life-threatening condition in pediatrics.

Published in Pediatric and Adolescent Medicine (Volume 2, Issue 3)
DOI 10.11648/j.pam.20170203.12
Page(s) 55-57
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Retropharyngeal Emphysema, Paediatrics, Respiratory Medicine, Aerodigestive Tract, Radiology

References
[1] Mauder, R. J., Pierson, D. J. and Hudson, L. D. Subcutaneous and mediastinal emphysema; Pathophysiology, diagnosis and management. Archives of Internal Medicine 1984, 144, 1447-1453.
[2] Wiesner B, Frey M. Spontanes Pneumomediastinum bei Asthma bronchiale. Schweiz Rundsch Med Prax. 2006, 95 (10): 369-73.
[3] Parker GS, Mosborg DA, Foley RW, Stiernberg CM. Spontaneous cervical and mediastinal emphysema. Laryngoscope. 1990.
[4] Avaro JP, DJourno XB, Hery G, Marghli A, Doddoli C, Peloni JM, et al. Pneumomédiastin spontané du jeune adulte: une entité clinique bénigne. Rev Mal Respir. 2006, 23 (1 Pt 1): 79-82.
[5] Sausin, L., LaBruna, A., Levine, J. and Komser, A. Subcutaneous and retropharyngeal emphysema after dental procedures. Otolaryngology, Head and Neck Surgery 1997, 117, 122-123.
[6] Fortes, F., Sennes, L. U., Fortes, F. S. G., Immamura, R. and Tsuyi, D. H. Cervical emphysema as an early complication of tonsillectomy. International Archives of Otorhinolaryngology 2007, 11, 65-69.
[7] Azenha, M. R., Yamaji, M. A., Avelar, R. L., de Freitas, Q. E., Laureano Filho, J. R. and de Oliveira Neto, P. J. Retropharyngeal and cervicofacial subcutaneous emphysema after maxillofacial trauma. Oral and Maxillofacial Surgery 2011, 15, 245-249.
[8] Riccio, J. C. and Abbott, J. A simple sore throat? Retropharyngeal emphysema secondary to free-basing cocaine. Journal of Emergency Medicine 1990, 8, 709-712.
[9] Onwudike, M. Ecstasy induced retropharyngeal emphysema. Journal of Accident and Emergency Medicine 1996, 13, 359-361.
[10] Adekunle, Daniel and Onakoya, Paul Adekunle. Retropharyngeal emphysema: An unusual aetiology—A case report and literature review. Case Reports in Clinical Medicine, 2013, 2 (3).
Cite This Article
  • APA Style

    Anselm Ejike Chukwuani, Emmanuel Chukwurah, Franklin Obinna Eneje, David Oselumenosen Omiyi. (2017). Spontaneous Retropharyngeal Emphysema in a Paediatric Patient; Radiological Findings. Pediatric and Adolescent Medicine, 2(3), 55-57. https://doi.org/10.11648/j.pam.20170203.12

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    ACS Style

    Anselm Ejike Chukwuani; Emmanuel Chukwurah; Franklin Obinna Eneje; David Oselumenosen Omiyi. Spontaneous Retropharyngeal Emphysema in a Paediatric Patient; Radiological Findings. Pediatr. Adolesc. Med. 2017, 2(3), 55-57. doi: 10.11648/j.pam.20170203.12

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    AMA Style

    Anselm Ejike Chukwuani, Emmanuel Chukwurah, Franklin Obinna Eneje, David Oselumenosen Omiyi. Spontaneous Retropharyngeal Emphysema in a Paediatric Patient; Radiological Findings. Pediatr Adolesc Med. 2017;2(3):55-57. doi: 10.11648/j.pam.20170203.12

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  • @article{10.11648/j.pam.20170203.12,
      author = {Anselm Ejike Chukwuani and Emmanuel Chukwurah and Franklin Obinna Eneje and David Oselumenosen Omiyi},
      title = {Spontaneous Retropharyngeal Emphysema in a Paediatric Patient; Radiological Findings},
      journal = {Pediatric and Adolescent Medicine},
      volume = {2},
      number = {3},
      pages = {55-57},
      doi = {10.11648/j.pam.20170203.12},
      url = {https://doi.org/10.11648/j.pam.20170203.12},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.pam.20170203.12},
      abstract = {Retropharyngeal emphysema is a severe condition which may be life-threatening requiring urgent diagnosis and intervention. This condition may occur with subcutaneous emphysema of the cervical region and may also be complicated by mediastinal emphysema and pneumomediastinum. A 9-year-old Nigerian boy was admitted into the emergency unit of a foremost teaching hospital in South Western Nigeria with a 5-hour history of progressively worsening dyspnoea. There was a history of foreign body ingestion - a round plastic ball bearing. Several attempts to remove the foreign body were made by thrusting the fingers down his throat while holding him in a head down position. Urgent x-rays of the neck and chest were performed. The lateral x-ray of the soft tissue neck revealed widening lucency within the prevertebral soft tissue from the basiocciput, extending below the 7th cervical vertebra; which was indicative of spontaneous retropharyngeal emphysema. Streaks of air were also seen in the subcutaneous tissue of the neck. Retropharyngeal emphysema is seldom thought of by clinicians as a differential in the management of patients presenting with acute upper aerodigestive tract conditions. Health education to increase public awareness of the potential ills of some ‘socio-cultural’ practices is of paramount importance in order to reduce the incidence of this potentially life-threatening condition in pediatrics.},
     year = {2017}
    }
    

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  • TY  - JOUR
    T1  - Spontaneous Retropharyngeal Emphysema in a Paediatric Patient; Radiological Findings
    AU  - Anselm Ejike Chukwuani
    AU  - Emmanuel Chukwurah
    AU  - Franklin Obinna Eneje
    AU  - David Oselumenosen Omiyi
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    DO  - 10.11648/j.pam.20170203.12
    T2  - Pediatric and Adolescent Medicine
    JF  - Pediatric and Adolescent Medicine
    JO  - Pediatric and Adolescent Medicine
    SP  - 55
    EP  - 57
    PB  - Science Publishing Group
    UR  - https://doi.org/10.11648/j.pam.20170203.12
    AB  - Retropharyngeal emphysema is a severe condition which may be life-threatening requiring urgent diagnosis and intervention. This condition may occur with subcutaneous emphysema of the cervical region and may also be complicated by mediastinal emphysema and pneumomediastinum. A 9-year-old Nigerian boy was admitted into the emergency unit of a foremost teaching hospital in South Western Nigeria with a 5-hour history of progressively worsening dyspnoea. There was a history of foreign body ingestion - a round plastic ball bearing. Several attempts to remove the foreign body were made by thrusting the fingers down his throat while holding him in a head down position. Urgent x-rays of the neck and chest were performed. The lateral x-ray of the soft tissue neck revealed widening lucency within the prevertebral soft tissue from the basiocciput, extending below the 7th cervical vertebra; which was indicative of spontaneous retropharyngeal emphysema. Streaks of air were also seen in the subcutaneous tissue of the neck. Retropharyngeal emphysema is seldom thought of by clinicians as a differential in the management of patients presenting with acute upper aerodigestive tract conditions. Health education to increase public awareness of the potential ills of some ‘socio-cultural’ practices is of paramount importance in order to reduce the incidence of this potentially life-threatening condition in pediatrics.
    VL  - 2
    IS  - 3
    ER  - 

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Author Information
  • Department of Radiology, Reddington Multi-Specialist Hospital, Lagos, Nigeria

  • Department of Radiology, Reddington Multi-Specialist Hospital, Lagos, Nigeria

  • Department of Radiology, Garki General Hospital, Abuja, Nigeria

  • Department of Radiation Biology, Radiotherapy, Radiodiagnosis and Radiography, College of Medicine, University of Lagos, Lagos, Nigeria

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