An unusual case of surgical emphysema in the neck following sport injury.

Surgical emphysema of the neck following sport injury without direct trauma to the neck is uncommon. We report a case of a flexion-hyperextension injury causing an air leak to the soft tissues of the neck. Diagnosis, management and potential mechanisms are discussed. Patients may initially present with minimal symptoms, but their condition may deteriorate rapidly or insidiously. In the absence of respiratory compromise, conservative management is appropriate.