Subcutaneous emphysema with Ginkgo leaf sign

Case contributed by Dr Bita Abbasi

Presentation

Patient with traumatic pneumothorax.

On the CXR, a left-sided hydropneumothorax and chest tubes are seen.

Note the presence of extensive subcutaneous emphysema, outlining the fibers of the left pectoralis muscle.

Author: Em?ke Dénes  (2011)

Original file: http://upload.wikimedia.org/wikipedia/commons/6/69/Ginkgo_biloba_-_wetland_3.jpg

Modifications: none. 

License: "I, the copyright holder of this work, hereby publish it under the following licenses: This file is licensed under the Creative Commons Attribution-Share Alike 2.5 Generic license.

If you believe your copyright or has been infringed please write to [email protected] giving details of why you believe this is so.

Case Discussion

In the extensive subcutaneous emphysema, air outlines the pectoralis major muscle fibers and creates a branching pattern known as the Ginkgo leaf sign.

The ginkgo tree is native to China and has fan-shaped leaves with prominently visible veins. The air between the muscle fibers of the pectoralis muscle mimic the appearances of these veins.

PlayAdd to Share

Case information

rID: 22549
Published: 6th Apr 2013
Last edited: 14th Aug 2019
System: Chest, Trauma
Inclusion in quiz mode: Included

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.