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High-Pressure Injection Injury to the Hand With Resulting Pneumomediastinum: A Case Report

  • Joseph Turner
    Correspondence
    Corresponding Address: Joseph Turner, MD, Department of Emergency Medicine, Indiana University School of Medicine, 720 Eskenazi Avenue, 3rd Floor Faculty Office Building, Indianapolis, IN 46202
    Affiliations
    Department of Emergency Medicine, Indiana University School of Medicine
    Search for articles by this author
  • Rolando Gabriel Gerena
    Affiliations
    Department of Emergency Medicine, Indiana University School of Medicine

    Indiana University School of Medicine Methodist Hospital Transitional Year Residency Program, Indianapolis, Indiana
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      Abstract

      Background

      High-pressure injection injury is an uncommon but potentially limb-threatening presentation that in many cases should be treated as a surgical emergency.

      Case Report

      We present a 46-year-old patient with a high-pressure injection injury from SCUBA equipment who developed pneumomediastinum.

      Why Should an Emergency Physician Be Aware of This?

      High-pressure injection injuries are rare and may have significant morbidity. Injection injuries from air are uncommon, may be managed differently than injection with other materials, and may be associated with unique complications.

      Keywords

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      References

        • Soyuncu S
        • Bektas F
        • Dinc S.
        High-pressure air injection injury to the upper extremity.
        J Emerg Med. 2013; 45: 96-98
        • Kennedy J
        • Harrington P.
        Pneumomediastinum following high pressure air injection to the hand.
        Ir Med J. 2010; 103: 118-119
        • Steffen T
        • Wedel A
        • Kluckert JT
        • Lange J
        • Zerz A.
        Severe pneumomediastinum after high-pressure air-injection injury to the hand: a case of pneumomediastinum with an unusual cause.
        J Trauma. 2009; 66: 1243-1245
        • Temple CL
        • Richards RS
        • Dawson WB.
        Pneumomediastinum after injection injury to the hand.
        Ann Plast Surg. 2000; 45: 64-66https://doi.org/10.1097/00000637-200045010-00012
        • Muneer M
        • Badran S
        • El-Menyar A
        • Alkhafaji A
        • Al-Basti H
        • Al-Hetmi T
        • Al-Thani H
        High-pressure injection injuries to the hand: a 14-year descriptive study.
        Int J Crit Illn Inj Sci. 2019; 9: 64-68https://doi.org/10.4103/IJCIIS.IJCIIS_77_18
        • Hogan CJ
        • Ruland RT.
        High-pressure injection injuries to the upper extremity: a review of the literature.
        J Orthop Trauma. 2006; 20: 503-511https://doi.org/10.1097/00005131-200608000-00010
        • Yıldıran G
        • Sütçü M
        • Akdağ O
        • Tosun Z.
        High-pressure injection injuries to the upper extremity and the review of the literature.
        Ulus Travma Acil Cerrahi Derg. 2020; 26: 899-904https://doi.org/10.14744/tjtes.2020.26751
        • Schoo MJ
        • Scott FA
        • Boswick Jr, JA
        High-pressure injection injuries of the hand.
        J Trauma. 1980; 20: 229-238