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A strange chest pain after dental surgery

  • Enzo Porteri
  • Nicola Rizzardi
  • Damiano Rizzoni
  • Andrea Salvi
  • Carolina De Ciuceis
  • Davide Farina
  • Gianluca E. M. Boari
  • Caterina Platto
  • Silvia Paiardi
  • Almajdalawi Raed
  • Enrico Agabiti RoseiEmail author
IM - Case Record
  • 109 Downloads

Case history

In May 2007, a 29-year-old man was admitted to our ward complaining of chest pain exacerbated by deep breathing but not by change of position. The chest pain episodes were short-lasting (some minutes), but the patient complained of several relapses. Simultaneously, soft-consistency bilateral swelling of the neck appeared in the submandibular and lateral cervical regions.

Ten hours before admission, the patient had undergone dental surgery for removal of the III right inferior wisdom tooth. The procedure was particularly difficult and lasted for more than 90 min.

The family history was negative for cardiovascular disease; no relevant previous disease was present. He was not on any medical treatment; however, he smoked 15 cigarettes a day, and his alcohol intake was moderate.

Physical examination of the patient showed normal blood pressure (120/80 mmHg) and heart rate (65 beats/min). He was eupnoeic, and oxygen saturation of the blood was 97% (no oxygen supply). Body...

Keywords

Sulbactam Subcutaneous Emphysema Eustachian Tube Dysfunction Submandibular Space Jugular Fossa 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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Copyright information

© SIMI 2008

Authors and Affiliations

  • Enzo Porteri
    • 1
  • Nicola Rizzardi
    • 1
  • Damiano Rizzoni
    • 1
  • Andrea Salvi
    • 1
  • Carolina De Ciuceis
    • 1
  • Davide Farina
    • 2
  • Gianluca E. M. Boari
    • 1
  • Caterina Platto
    • 1
  • Silvia Paiardi
    • 1
  • Almajdalawi Raed
    • 2
  • Enrico Agabiti Rosei
    • 1
    Email author
  1. 1.Clinica Medica, Department of Medical and Surgical SciencesUniversity of BresciaBresciaItaly
  2. 2.Department of RadiologyUniversity of Brescia/Spedali CiviliBresciaItaly

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