Recurrent spontaneous pneumomediastinum in a young female: Hamman's crunch revisited†

Presence of free air in the mediastinum without any identifiable cause is defined as spontaneous pneumomediastinum (SPM). SPM is more common in young males. The common inciting event leading to SPM are retching, vomiting, acute asthma attack, intense sport activity, inhalation of drugs and weight loss as seen in anorexia nervosa. Analgesics and rest is the mainstay of treatment. Recurrence of SPM is rare. We present a case of recurrent SPM occurring in a young female within few months interval. We also present a brief literature review.