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Case Reports in Surgery
Volume 2013, Article ID 392869, 4 pages
http://dx.doi.org/10.1155/2013/392869
Case Report

Pneumoscrotum as Complication of Blunt Thoracic Trauma: A Case Report

11st Department of Surgery, General Hospital of Kavala, Agios Silas, 65500 Kavala, Greece
21st Department of Urology, G. Gennimatas General Hospital, Aristotle University of Thessaloniki, 41 Ethnikis Amynis Street, 54635 Thessaloniki, Greece
31st Department of Surgery, Theagenio Cancer Hospital of Thessaloniki, Alexandrou Simeonidi 2, 54007 Thessaloniki, Greece
41st Department of Respiratory Medicine, General Hospital of Kavala, Agios Silas, 65500 Kavala, Greece

Received 2 December 2012; Accepted 27 December 2012

Academic Editors: J. M. Bernal, P. De Nardi, I. Hassan, K. Honma, H. Imura, and S. Landen

Copyright © 2013 Eftychios Lostoridis 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.

Abstract

Introduction. Pneumoscrotum is a rare clinical entity. It presents with swollen scrotal sac and sometimes with palpable crepitus. It has many etiologies. One of them is due to blunt trauma of the thoracic cage, causing pneumothorax and/or pneumomediastinum. Case Presentation. We report the case of an 82-year-old male who was transferred to the Emergency Department with signs of respiratory distress after a blunt chest trauma. A CT scan was obtained, and bilateral pneumothoraces with four broken ribs were disclosed. Subcutaneous emphysema expanding from the eyelids to the scrotum was observed, and a chest tube was inserted on the right side with immediate improvement of the vital signs of the patient. Discussion. Pneumoscrotum has three major etiologies: (a) local introduction of air or infection from gas-producing bacteria, (b) pneumoperitoneum, and (c) air accumulation from lungs, mediastinum, or retroperitoneum. These sources account for most of the cases described in the literature. Treatment should be individualized, and surgical consultation should be obtained in all cases. Conclusion. Although pneumoscrotum itself is a benign entity, the process by which air accumulates in the scrotum must be clarified, and treatment must target the primary cause.