Clin Exp Emerg Med.  2018 Dec;5(4):282-285. 10.15441/ceem.17.291.

Pneumoparotitis

Affiliations
  • 1Department of Otolaryngology, University of Mississippi Medical Center, Jackson, MS, USA. lhouse@umc.edu

Abstract

The objective is to review a case of pneumoparotitis and to discuss how knowledge of this unique presentation is important when making differential diagnoses in emergency medicine. A patient with recurrent subcutaneous emphysema of the head and neck is reviewed. Stenson's duct demonstrated purulent discharge. Physical examination revealed palpable crepitance of the head and neck. Fiberoptic laryngoscopy and barium esophagram were normal. Computed tomography demonstrated left pneumoparotitis and subcutaneous emphysema from the scalp to the clavicles. This is an unusual presentation of pneumoparotitis and malingering. Emergency physicians should be aware of pneumoparotitis and its presentation when creating a differential diagnosis for pneumomediastinum, which includes more life-threatening diagnoses such as airway or esophageal injuries.

Keyword

Pneumoparotitis; Mediastinal emphysema; Facial swelling; Malingering

MeSH Terms

Barium
Clavicle
Diagnosis
Diagnosis, Differential
Emergencies
Emergency Medicine
Head
Humans
Laryngoscopy
Malingering
Mediastinal Emphysema
Neck
Physical Examination
Scalp
Subcutaneous Emphysema
Barium
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