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Case Reports in Emergency Medicine
Volume 2017, Article ID 2674216, 3 pages
Case Report

Diffuse Subcutaneous Emphysema, Pneumomediastinum, and Pneumothorax following Robotic Assisted Laparoscopic Hysterectomy

1Rutgers Robert Wood Johnson Medical School, Department of Emergency Medicine, 1 RWJ Place, MEB 104, New Brunswick, NJ 08901, USA
2Rutgers Robert Wood Johnson Medical School, 675 Hoes Lane, Piscataway, NJ 08854, USA

Correspondence should be addressed to Laryssa Patti; ude.sregtur.smjwr@alittap

Received 2 July 2017; Accepted 12 September 2017; Published 12 October 2017

Academic Editor: Oludayo A. Sowande

Copyright © 2017 Laryssa Patti et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Robotic assisted laparoscopic surgery is becoming more widely available, but despite its multiple benefits, it is not without risk. This case is of a 62-year-old female who presented to the emergency department for dyspnea two days after robotic assisted laparoscopic hysterectomy. Physical exam revealed diffuse facial, neck, upper extremity, torso, and lower extremity crepitus, which was diagnosed as diffuse subcutaneous air on computed tomography (CT). Imaging also revealed right apical pneumothorax and pneumomediastinum. The patient progressively improved over one month, with resolution of symptoms.