PMC3557629_01
(a) Computed tomography scan of the pelvis. Air (white arrows) is visualized within the scrotal sac (indicative of pneumoscrotum). (b) Magnification of the red frame of (a). Air appears to the scrotum (white arrows) and at the base of the penis (head arrow).
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The body CT scan revealed a massive subcutaneous emphysema extending from the temporal-parietal region of the head to the scrotum (Figures 1(a) and 1(b)), one broken rib (7th) at the right, and three broken ribs (2nd, 3rd, and 6th) at the left hemithorax, bilateral pneumothorax with pneumomediastinum, and right lower lobe infiltrates (Figure 2).
Computed tomography scan of the thorax. Bilateral pneumothorax (black arrows), pneumomediastinum (arrow heads) and subcutaneous emphysema of the anterior and lateral thoracic wall (white arrows).
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The body CT scan revealed a massive subcutaneous emphysema extending from the temporal-parietal region of the head to the scrotum (Figures 1(a) and 1(b)), one broken rib (7th) at the right, and three broken ribs (2nd, 3rd, and 6th) at the left hemithorax, bilateral pneumothorax with pneumomediastinum, and right lower lobe infiltrates (Figure 2).
Swelling of the scrotum.
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A puncture in the scrotum confirmed the diagnosis of pneumoscrotum (Figure 3).
Computed tomography of the thorax at day 13 demonstrates right pneumothorax (white arrow) with lung infiltrations and bilateral pleural effusions (black arrows). The chest tube is visible (head arrows).
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At day 13, he was transferred to the Respiratory Department due to low fever, bilateral pleural effusions, and lung infiltrations, diagnosed by a new chest CT scan (Figure 4).