International Journal of Clinical & Medical Images

A 58-year-old male patient, a known case of Chronic Obstructive Pulmonary Disease (COPD), reported to the emergency of Glocal Hospital, Krishnanagore, India, in a state of severe breathlessness. On examination, it was revealed that in addition to COPD, he developed extensive sub-cutaneous emphysema spreading from below the scalp to the legs. A chest X-ray showed emphysematous lungs with air and a small pneumothorax. His condition improved with conservative treatment and emphysema is gradually disappeared. This is a unique and rare case of extensive sub-cutaneous emphysema spreading from scalp up to the legs in a setting of COPD (Figures 1 and 2).

Acknowledgement The authors gratefully acknowledge for giving permission to publish the photograph and x-ray.