DOI: https://doi.org/10.36347/sjmcr.2025.v13i05.032

Pages: 901-905

Subcutaneous emphysema is a clinical condition caused by air leakage, often from the bronchial tree or the esophagus, into subcutaneous tissues, leading to progressive distension and infiltration. The most common etiologies include thoracic or cervical trauma and asthma. However, in the absence of trauma, foreign body inhalation should always be considered, particularly in children. Tracheobronchial foreign body inhalation is a frequent pediatric emergency, especially in preschool-aged children, and remains a significant cause of morbidity and mortality. We report a case of a two-year-old girl presenting with massive subcutaneous emphysema, ultimately revealing foreign body inhalation. Prompt endoscopic intervention via rigid bronchoscopy and medical treatment resulted in a favorable outcome. Delayed intervention increases the risk of complications, including prolonged air leakage, extensive tissue infiltration, and secondary infections, underscoring the importance of early diagnosis and management.