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Elderly man with subcutaneous emphysema
  1. Ankit Kumar Sahu,
  2. Soumitra Thandar,
  3. Roshan Mathew
  1. Department of Emergency Medicine, All India institute of Medical Sciences, New Delhi, India
  1. Correspondence to Dr Roshan Mathew, Emergency Medicine, All India Institute of Medical Sciences, New delhi, DL 110049, India; roshmat15{at}

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Clinical Introduction

A 60-year-old man, diagnosed case of carcinoma right lung, presented to the emergency department (ED) with swelling of the upper chest and neck. He had developed right-sided hydropneumothorax, for which intercostal chest drain (ICD) was inserted in a nearby hospital and was subsequently removed 2 days prior to the current presentation. The primary survey was normal. Crepitus was palpable in the neck, upper chest and both axillae. A chest radiograph (figure 1 …

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  • Handling editor Ellen J Weber

  • Twitter @roshmat15

  • Contributors AKS, ST and RM were involved in managing the case. AS wrote the first draft of the manuscript. RM did the critical editing of the final version. All authors take full responsibility for the originality of the content.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient and public involvement Patients and/or the public were not involved in the design, or conduct, or reporting or dissemination plans of this research.

  • Provenance and peer review Not commissioned; internally peer reviewed.