Self-resolving, benign subcutaneous emphysema after bilateral open inguinal hernioplasty: a case report


  • Divya J. Banerjee Department of Surgery, GMERS Medical College and Hospital, Sola, Ahmedabad, Gujarat, India
  • Himesh R. Chauhan Department of Surgery, GMERS Medical College and Hospital, Sola, Ahmedabad, Gujarat, India



Lichtenstein hernioplasty, Subcutaneous emphysema, Benign, Self-resolving


Subcutaneous emphysema after surgery is commonly seen after thoracic or laparoscopic procedures but very rarely as a post-operative complication in open abdominal inguinal surgeries. Typically, if subcutaneous emphysema or abdominal crepitus is present after open abdominal surgeries it can mean grave underlying cause like hollow viscous perforation or gas gangrene which calls for prompt life-saving interventions. Here, we present a case of benign self-resolving post-operative subcutaneous emphysema after open bilateral inguinal hernioplasty with no apparent obvious underlying cause.



Kukuruza K, Aboeed A. Subcutaneous Emphysema. In: StatPearls. Treasure Island (FL): StatPearls Publishing. 2023.

Sullivan TP, Pierson DJ. Pneumomediastinum after freebase cocaine use. AJR Am J Roentgenol. 1997;168(1):84.

Schumann R, Polaner DM. Massive subcutaneous emphysema and sudden airway compromise after postoperative vomiting. Anesth Analg. 1999;89(3):796-7.

Medeiros BJDC. Subcutaneous emphysema, a different way to diagnose. Rev Assoc Med Bras (1992). 2018;64(2):159-63.

Aghajanzadeh M, Dehnadi A, Ebrahimi H, Fallah Karkan M, Khajeh Jahromi S, Amir Maafi A, et al. Classification and Management of Subcutaneous Emphysema: a 10-Year Experience. Indian J Surg. 2015;77(Suppl 2):673-7.

Foote JR, Kohler MF, Young-Pierce J. Case report of massive subcutaneous emphysema: A benign postoperative finding. Obstet Gynecol Cases Rev. 2014;1:2.

Kassir R, Abboud K, Dubois J, Baccot S, Debs T, Favre JP, et al. Perforated diverticulitis of the sigmoid colon causing a subcutaneous emphysema. Int J Surg Case Rep. 2014;5(12):1190-2.






Case Reports