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Emergency casebook
Mediastinal emphysema after a minor oral laceration
  1. S R Abdulla,
  2. A Sen
  1. Department of Accident and Emergency, Wrexham Maelor Hospital, Wrexham, UK
  1. Correspondence to:
 Mr S Abdulla, 6 Dana drive, Sketty, Swansea SA2 8LF, UK;
 s.abdulla{at}ntlworld.com

https://doi.org/10.1136/emj.19.2.182

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    CASE REPORT

    A 7 year old boy attended the accident and emergency department with facial swelling and chest discomfort. Two hours earlier he was playing with a luggage strap by placing the hook inside his mouth.

    Examination revealed a small laceration to the buccal surface of his left cheek that was not bleeding. He had a soft, mildly tender swelling over the left cheek with subcutaneous emphysema over his neck down to the suprasternal notch. Examination of the …

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