Spontaneous pneumomediastinum (SPM) is defined as presence of free air or gas in the mediastinum. It may occur young healthy individuals without serious underlying lung disease. SPM a rare presentation at Emergency Department; it typically occurs among tall and thin individuals. We report case spontaneous gentleman who presented with short history chest neck pain after coming back from work. Ne...

An 18-year-old man presented with altered mental status. He was found to have diabetic ketoacidosis. Chest X-ray showed pneumomediastinum. After intubation for air-way protection, an oral-gastric tube was placed. A chest computed tomography scan showed the tip of the oral-gastric tube to be in the right hemithorax. The patient underwent a thoracotomy and was managed in the intensive care unit. ...

During mechanical ventilation for acute respiratory distress syndrome, tidal volume (VT) must be reduced. Once switched to pressure-support ventilation, there is a risk that uncontrolled large VT may be delivered. A 63-year-old man with community-acquired pneumonia required tracheal intubation and mechanical ventilation, with a VT of 6 mL/kg predicted body weight, PEEP of 10 cm H2O, a respirato...

During mechanical ventilation for acute respiratory distress syndrome, tidal volume (V(T)) must be reduced. Once switched to pressure-support ventilation, there is a risk that uncontrolled large V(T) may be delivered. A 63-year-old man with community-acquired pneumonia required tracheal intubation and mechanical ventilation, with a V(T) of 6 mL/kg predicted body weight, PEEP of 10 cm H2O, a res...

INTRODUCTION Air leak is a well-recognized complication of advanced cystic fibrosis in older children and adults but is extremely rare in infants. To the best of our knowledge, this is the youngest reported pediatric case of an air leak from a major airway. CASE PRESENTATION A 4-month-old Yamani baby girl with a family history of cystic fibrosis initially presented with a history of a persist...

The case of a nineteen year old male student who presented with marked dyspnoea, dysphagia and horseness of voice is presented. Chest examination revealed bilateral polyphonic rhonchi and the chest radiograph showed the presence of subcutaneous emphysema and pneumomediastinum. A diagnosis of acute severe asthma complicated with subcutaneous emphysema and pneumomediastinum was made and the patie...

An 18-year-old man with a history of type 1 diabetes mellitus presented with a sudden onset of retrosternal pain and dyspnea, preceded by a 3-day history of severe vomiting. The patient denied any fever but complained of new-onset headache. His vitals signs were normal. Physical examination revealed a dehydrated patient with cervical subcutaneous emphysema and Hamman’s crunch sign. There were n...