Trauma Images - chest0025
Massive traumatic subcutaneous
A 90 yr old fell on the rim of his bed at 0900h.
At 18.00 h he developed severe subcutaneous emphesema : within 45 minutes
his face, his thoracic wall, his arms and his abdomen were twice their
normal size. In Europe this characteristic face with the swollen eyes
is called the 'Michelin man' : the Michelin tyre company used a comic
swollen figure as an advertisement. The following ct scan revealed a
displaced rib fracture on the right. On the normal thoracic Xray there
was no sign of a pneumothorax. I asked the ER nurse to put a finger
on the skin untill she feels more solid tissue : Her finger disappears
more then 5 cm.