Spontaneous Pneumomediastinum After Playing Volleyball: A Case Report

Abstract

Pneumomediastinum is the presence of air in the mediastinum due to spontaneous and traumatic reasons. In this case, we present an 18 year old male patient with spontaneous pneumomediastinum who came to the emergency department with neck pain after playing volleyball. The patient was admitted to the hospital, and conservative treatment was applied. He recovered clinically and radiologically and was discharged with follow-up advice.

Keywords

• Pneumomediastinum
• Mediastinal Emphysema
• Volleyball

Voleybol Oynadıktan Sonra Gelişen Spontan Pnömomediastinum: Olgu Sunumu

Abstract

Pnömomediastinum spontan ve travmaya bağlı nedenler sonucu mediastende hava bulunması olarak isimlendirilmektedir. Bu olguda voleybol oynadıktan sonra başlayan boyun ağrısı şikayeti ile acil servise gelen ve spontan pnömomedia stinum saptanan 18 yaşında bir erkek hasta sunuyoruz. Hastaneye yatırılan hastaya konservatif tedavi uygulanmıştır. Klinik ve radyolojik olarak iyileşen hasta takip önerilerek taburcu edilmiştir.

Keywords

• Pnömomediastinum
• Mediastinal Amfizem
• Voleybol

References

1. 1. Caceres M, Ali SZ, Braud R, Weiman D, Garrett HE. Spontaneous pneumomediastinum: a comparative study and review of the literature. Ann Thorac Surg. 2008 Sep;86(3):962–6.
2. 2. Demirel A, Aynacı E, Özgül MA, Özgül G, Uysal MA. Primer spontan pnömomediastinum. 2008 Apr 1;10(1):71–3.
3. 3. Langwieler TE, Steffani KD, Bogoevski DP, Mann O, Izbicki JR. Spontaneous pneumomediastinum. Ann Thorac Surg. 2004 Aug;78(2):711–3.
4. 4. Macklın CC. Transport of air along sheaths of pulmonıc blood vessels from alveoli to mediastinum: Clinical implications. Arch Intern Med. 1939 Nov 1;64(5):913–26.
5. 5. Tözüm H, Eren TŞ. Primer spontan pnömomediyasten. In Balcı AE, Editor. Mediyasten hastalıkları ve cerrahisi. Editör: Balcı AE, TÜ-SAD Eğitim Kitapları Serisi. 2015. p.145-50.
6. 6. Stack AM, Caputo GL. Pneumomediastinum in childhood asthma. Pediatr Emerg Care. 1996 Apr;12(2):98–101.
7. 7. Al-Mufarrej F, Badar J, Gharagozloo F, Tempesta B, Strother E, Margolis M. Spontaneous pneumomediastinum: diagnostic and therapeutic interventions. J Cardiothorac Surg. 2008 Nov 3;3:59.
8. 8. Damore DT, Dayan PS. Medical causes of pneumomediastinum in children. Clin Pediatr (Phila). 2001 Feb;40(2):87–91.

9. 9. Newcomb AE, Clarke CP. Spontaneous pneumomediastinum: a benign curiosity or a significant problem? Chest. 2005 Nov;128(5):3298–302.
10. 10. Brand M, Bizos DB, Burnell L. A review of non-obstetric spontaneous pneumomediastinum and subcutaneous emphysema. South Afr J Surg Suid-Afr Tydskr Vir Chir. 2011 Aug 31;49(3):135–6.
11. 11. Ryoo JY. Clinical analysis of spontaneous pneumomediastinum. Tuberc Respir Dis. 2012 Sep;73(3):169–73.
12. 12. Fujiwara T. Pneumomediastinum in pulmonary fibrosis. Detection by computed tomography. Chest. 1993 Jul;104(1):44–6.
13. 13. Kaneki T, Kubo K, Kawashima A, Koizumi T, Sekiguchi M, Sone S. Spontaneous pneumomediastinum in 33 patients: yield of chest computed tomography for the diagnosis of the mild type. Respir Int Rev Thorac Dis. 2000;67(4):408–11.
14. 14. Ho AS, Ahmed A, Huang JS, Menias CO, Bhalla S. Multidetector computed tomography of spontaneous versus secondary pneumomediastinum in 89 patients: can multidetector computed tomography be used to reliably distinguish between the 2 entities? J Thorac Imaging. 2012 Mar;27(2):85–92.
15. 15. Zylak CM, Standen JR, Barnes GR, Zylak CJ. Pneumomediastinum revisited. Radiogr Rev Publ Radiol Soc N Am Inc. 2000;20(4):1043–57.
16. 16. Dur A. Güreş sonrası gelişen spontan pnömomediastinum. Selçuk Tıp Derg. 2012 Apr 17;29(4):182–3.
17. 17. Adadioğlu İ, Yavuz Y, Solak O, Yürümez Y, Esme H. Primary spontaneous pneumomediastinum: Case Report. J Emerg Med Case Rep. 2010 Jan 1;1(1):37–40.
18. 18. Leo F, Solli P, Veronesi G, Spaggiari L, Pastorino U. Efficacy of microdrainage in severe subcutaneous emphysema. Chest. 2002 Oct;122(4):1498–9.