A Rare Complication of Dental Care: A Case of Subcutaneous Emphysema, Pneumomediastinum, and Pneumopericardium
Caroline Henin, Laure Watelet, Vanessa Wauters

TL;DR
A 64-year-old man developed rare complications after a dental procedure, including air in the soft tissues and around the heart, highlighting the need for prompt recognition in emergency care.
Contribution
The paper presents a rare case of iatrogenic complications from dental care and emphasizes the importance of timely diagnosis and management.
Findings
A dental procedure using an air-driven tool caused subcutaneous emphysema, pneumomediastinum, and pneumopericardium.
Prompt recognition and management in emergency settings are crucial to prevent deterioration from such iatrogenic complications.
Abstract
This article reports the rare case of a 64-year-old man who presented at the emergency department with interscapular pain following a dental procedure. Imaging revealed subcutaneous emphysema, pneumomediastinum, and pneumopericardium, resulting from the use of an air-driven tool during the treatment of a molar implant. Although uncommon, such iatrogenic complications can lead to serious consequences and should be promptly recognized and managed in emergency settings to prevent further deterioration.
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Taxonomy
TopicsPneumothorax, Barotrauma, Emphysema · Pleural and Pulmonary Diseases · Foreign Body Medical Cases
