Tehran University of Medical Sciences Acta Medica Iranica 0044-6025 42 4 2004 08 15 303 306 A. Movafegh G. Shoeibi MH. Ghaffari 2015 09 28 Subcutaneous emphysema is a rare complication of postoperative nausea and vomiting and can lead to airway compromise. We describe a case of delayed, severe subcutaneous emphysema after postoperative vomiting which fortunately did not lead to airway compromise and eliminated with conservative management. Rough and difficult laryngoscopy and intubation, presence of clots and bloody discharge after extubation, beginning of subcutaneous emphysema in the neck spreading caudally to the chest and fibroptic bronchoscopic findings all confirmed tracheal trauma as the cause. In this case the late onset of the subcutaneous emphysema, good response to conservative treatment and spontaneous resolution is considerable. https://acta.tums.ac.ir/index.php/acta/article/view/2741 https://acta.tums.ac.ir/index.php/acta/article/download/2741/2723