Spontaneous Pneumomediastinum with a Rare Presentation

نویسندگان

  • Ehsan Bolvardi
  • Elham Pishbin
  • Mohsen Ebrahimi
  • Azadeh Mahmoudi Gharaee
  • Farhad Bagherian
چکیده

Spontaneous pneumomediastinum is an unusual and benign condition in which air is present in mediastinum. A 20-year-old male patient presented to ED with complaint of hoarseness and odynophagia from the day before, after weightlifting. The patient was nonsmoker and denied history of other diseases. On physical examination he had no dyspnea with normal vital signs. Throat examination and pulmonary auscultation were normal and no crepitation was palpable. We could not find subcutaneous emphysema in neck and chest examination. In neck and chest X-ray we found that air is present around the trachea. There was no apparent pneumothorax in CXR. In cervical and chest CT free air was present around trachea and in mediastinum. Subcutaneous emphysema was also evident. But there was no pneumothorax. The patient was admitted and went under close observation, oxygen therapy, and analgesic. The pneumomediastinum and subcutaneous emphysema gradually resolved within a week by conservative therapy and he was discharged without any complication. Many different conditions could be trigged because of pneumomediastinum but it is rarely seen in intense physical exertion such as weightlifting and bodybuilding. Two most common symptoms are retrosternal chest pain and dyspnea. But the patient here complained of hoarseness and odynophagia.

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

Neonatal Pneumomediastinum, Spinnaker-Sail Sign: A Case Report and Review of the Literature

Background: Pneumomediastinum (PM) occurring in approximately 0.1% of neonates is an asymptomatic accumulation of free air in the mediastinum. In this paper, we report on a preterm newborn experiencing a significant spontaneous pneumomediastinum subsequent to an uneventful vaginal delivery in the absence of resuscitation maneuvers. Case presentation:A-2560 g-ma...

متن کامل

Spontaneous Pneumomediastinum: Report of a Case and Review of Literature

Spontaneous pneumomediastinum, defined as the presence of free air in the mediastinal structures, is a rare disease that usually take a good course with conservative therapy. However, clinicians are usually unfamiliar with the disease because of its infrequency. We report herein a case of spontaneous pneumomediastinum following an episode of violent cough. The patient was treated conservatively...

متن کامل

Spontaneous Pneumomediastinum in Labor

Spontaneous pneumomediastinum and subcutaneous emphysema also known as Hamman's syndrome is a very rare complication of labor that is often related to the valsalva maneuver during the labor. In most case, Hamman's syndrome is a self-limiting condition, rarely complicated unless there are underlying respiratory diseases. Chest X-ray can be a useful early diagnostic technique in severe clinical p...

متن کامل

An Unusual Association in an Uncommon Disease: Two Cases of Spontaneous Pneumomediastinum Associated with Pneumorrhachis

Pneumomediastinum, the presence of free air in the mediastinum, is described as spontaneous pneumomediastinum when there is no apparent cause such as trauma, surgery, interventional procedures, or intrathoracic infections. Pneumorrhachis is a rare clinical condition, consisting of intraspinal air. The main causes are iatrogenic, traumatic, and nontraumatic. Spontaneous mediastinum is usually as...

متن کامل

Idiopathic Exudative Hydropneumothorax and Spontaneous Pneumomediastinum in a Young Iranian Man: A Case Report

Hydropneumothorax denotes concurrent presence of pneumothorax and hydrothorax in the pleural space, which can be a fatal situation. In this study, we presented the case of a 35-year-old male with history of progressive pleuritic chest pain 30 days before admission with idiopathic hydropneumothorax and spontaneous pneumomediastinum

متن کامل

Spontaneous pneumomediastinum in a healthy adolescent.

Spontaneous pneumomediastinum is a rare clinical entity defined as the presence of free air in the mediastinal structures without an apparent cause such as trauma. Spontaneous pneumomediastinum is rare in children and most frequently occurs in young male patients. It usually develops after alveolar rupture and air penetration into the pulmonary interstice, followed by air penetration towards th...

متن کامل

ذخیره در منابع من


  با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

عنوان ژورنال:

دوره 2014  شماره 

صفحات  -

تاریخ انتشار 2014