This 45 year old male was involved in RTA. He had multiple fracture ribs on the right side with hemo-pneumothorax.
Intercostal drainage tube with additional hole was inserted to drain the hemo-pneumothorax.
The tube had slipped out slightly at night and last hole became subcutaneously . He had developed subcutaneous surgical emphysema
at the anterior and lateral side of chest wall, extended to anterior abdominal wall then trickled down to the scrotum.
Pict.1- the huge surgical emphysema of the scrotum
Pict.2 - A tube inserted to drain the air.