Case Report
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A Case of Spontaneous Pneumomediastinum

Year 2019, Volume: 10 Issue: 1, 29 - 32, 01.01.2019
https://doi.org/10.33706/jemcr.550583

Abstract

Introduction:
Spontaneous pneumomediastinum is described as the
presence of air in the mediastinum without any specific etiological factor or
trauma, and it is a rare clinical situation.
In this case report, a rare
case of spontaneous pneumomediastinum was presented.

 

Case
report
: A
23-year-old male patient was admitted to our emergency department with the
complaints of throat congestion, difficulty in breathing and chest pain while playing soccer.
An increase of
linear-type transparency starting from the right paratracheal area and
extending to the mediastinum, and a subcutaneous emphysema in the neck region
were detected on the posteroanterior (PA) chest X-ray of the patient, which is
compatible with
pneumomediastinum (PM).

 









Conclusion:
History, systemic examination and radiological imaging are very important for
the patients with chest pain.
Spontaneous pneumomediastinum should be taken into consideration in
the differential diagnosis of chest pain and breathing distress.

References

  • 1. Caceres M, Ali SZ, Braud R, Weiman D. Pneumomediastinum: A Comparative Study and Review of the literature. Ann Thorac Surg 2008; 86: 962-6.
  • 2. Langwieler TE, Steffani KD, Bogoevski DP, Mann O, Izbicki JR. Sontaneous Pneumomediastinum. Ann Thorac Surg 2004; 78: 711-3.
  • 3. Demirel A, Aynacı E, Özgül MA, Özgül G, Uysal MA. Primer Spontan Pnömomediastinum. Solunum 2008; 10: 71- 3.
  • 4. Macklin CC. Transport of air along sheaths of pulmonic blood vessels from alveoli to mediastinum: clinical implications. Arch Intern Med 1939; 64(5): 913-26.
  • 5. Koullias GJ, Korkolis DP, Wang XJ, Hammond GL. Current assessment and management of spontaneous pneumomediastinum; experience in 24 adult patients. Eur J Cardiothorac Surg. 2004; 25(5): 852-5.
  • 6. Jougon JB, Ballester M, Delcombre F, Mac bride T, Dromer CE, Velly JF. Assesment of spontaneous pneumomediastinum: experience with 12 patients. Ann. Thorac. Surg. 2003; 75: 1711–4.
  • 7. Bilgin M, Kahraman C, Akçalı Y. Spontan pnömomediastinum. Toraks Dergisi. 2003; 4: 183–5.
  • 8. Campillo-Soto A, Coll-Salinas A, Soria-Aledo V, Blanco-Barrio A, Flores-Pastor B, Candel-Arenas A, et al. Spontaneous neumomediastinum: Descriptive Study of Our Experience With 36 Cases. Arch Bronconeumol. 2005; 41: 528-31.
  • 9. Al-Mufarrej F, Badar J, Gharagozloo F, TempestaB, Strother E, Margolis M. Spontaneous pneumomediastinum: diagnostic and therapeutic interventions. J Cardiothorac Surg. 2008; 3: 59.
  • 10. Flynn AE, Verrier ED, Way LW, Thomas AN, Pellegrini CA. Esophageal perforation. Arch. Surg. 1989: 124(10): 1211–5.
  • 11. Cevik Y, Akman C, Şahin H, Altınbilek E, Balkan E. Spontan Pnömomediastinum: İki Vaka Akademik Acil Tıp Dergisi 2009; 8: 60-2.
  • 12. Dirweesh A, Alvarez C, Khan M, Chistmas D. Spontaneous pneumomediastinum in a healthy young female: A case report and literature review. Respir Med Case Rep 2017; 20: 129-32.
  • 13. Akdur O, Durukan P, Ikizceli I, Ozkan S, Avsarogullari L. A rare complication of chlorine gas inhalation: pneumomediastinum. Emergency Med J 2006; 23: 59.
  • 14. Akdemir HU, Turköz B, Katı C, Duran L, Kayhan S, Çalışkan F. Spontan Pnömomediastinum: Nefes Darlığı ve Ses Kısıklığı Birlikteliği. J Clin Anal Med 2013; 4: 229-31.
  • 15. Jones R, Kundrotas L. “HOOAH!” A case of pneumomediastinum in the military training environment; Hamman’s sign 71 years later. Mil Med 2011; 176: 352-5.
  • 16. Ralp-Edwards AC, Pearson FG. Atypical presentation of spontaneous pneumomediastinum, Ann Thorac Surg. 1994; 58: 1758-60.
Year 2019, Volume: 10 Issue: 1, 29 - 32, 01.01.2019
https://doi.org/10.33706/jemcr.550583

Abstract

References

  • 1. Caceres M, Ali SZ, Braud R, Weiman D. Pneumomediastinum: A Comparative Study and Review of the literature. Ann Thorac Surg 2008; 86: 962-6.
  • 2. Langwieler TE, Steffani KD, Bogoevski DP, Mann O, Izbicki JR. Sontaneous Pneumomediastinum. Ann Thorac Surg 2004; 78: 711-3.
  • 3. Demirel A, Aynacı E, Özgül MA, Özgül G, Uysal MA. Primer Spontan Pnömomediastinum. Solunum 2008; 10: 71- 3.
  • 4. Macklin CC. Transport of air along sheaths of pulmonic blood vessels from alveoli to mediastinum: clinical implications. Arch Intern Med 1939; 64(5): 913-26.
  • 5. Koullias GJ, Korkolis DP, Wang XJ, Hammond GL. Current assessment and management of spontaneous pneumomediastinum; experience in 24 adult patients. Eur J Cardiothorac Surg. 2004; 25(5): 852-5.
  • 6. Jougon JB, Ballester M, Delcombre F, Mac bride T, Dromer CE, Velly JF. Assesment of spontaneous pneumomediastinum: experience with 12 patients. Ann. Thorac. Surg. 2003; 75: 1711–4.
  • 7. Bilgin M, Kahraman C, Akçalı Y. Spontan pnömomediastinum. Toraks Dergisi. 2003; 4: 183–5.
  • 8. Campillo-Soto A, Coll-Salinas A, Soria-Aledo V, Blanco-Barrio A, Flores-Pastor B, Candel-Arenas A, et al. Spontaneous neumomediastinum: Descriptive Study of Our Experience With 36 Cases. Arch Bronconeumol. 2005; 41: 528-31.
  • 9. Al-Mufarrej F, Badar J, Gharagozloo F, TempestaB, Strother E, Margolis M. Spontaneous pneumomediastinum: diagnostic and therapeutic interventions. J Cardiothorac Surg. 2008; 3: 59.
  • 10. Flynn AE, Verrier ED, Way LW, Thomas AN, Pellegrini CA. Esophageal perforation. Arch. Surg. 1989: 124(10): 1211–5.
  • 11. Cevik Y, Akman C, Şahin H, Altınbilek E, Balkan E. Spontan Pnömomediastinum: İki Vaka Akademik Acil Tıp Dergisi 2009; 8: 60-2.
  • 12. Dirweesh A, Alvarez C, Khan M, Chistmas D. Spontaneous pneumomediastinum in a healthy young female: A case report and literature review. Respir Med Case Rep 2017; 20: 129-32.
  • 13. Akdur O, Durukan P, Ikizceli I, Ozkan S, Avsarogullari L. A rare complication of chlorine gas inhalation: pneumomediastinum. Emergency Med J 2006; 23: 59.
  • 14. Akdemir HU, Turköz B, Katı C, Duran L, Kayhan S, Çalışkan F. Spontan Pnömomediastinum: Nefes Darlığı ve Ses Kısıklığı Birlikteliği. J Clin Anal Med 2013; 4: 229-31.
  • 15. Jones R, Kundrotas L. “HOOAH!” A case of pneumomediastinum in the military training environment; Hamman’s sign 71 years later. Mil Med 2011; 176: 352-5.
  • 16. Ralp-Edwards AC, Pearson FG. Atypical presentation of spontaneous pneumomediastinum, Ann Thorac Surg. 1994; 58: 1758-60.
There are 16 citations in total.

Details

Primary Language English
Journal Section Case Report
Authors

Tamer Çolak This is me

Kaan Çelik This is me

Publication Date January 1, 2019
Submission Date May 10, 2018
Published in Issue Year 2019 Volume: 10 Issue: 1

Cite

APA Çolak, T., & Çelik, K. (2019). A Case of Spontaneous Pneumomediastinum. Journal of Emergency Medicine Case Reports, 10(1), 29-32. https://doi.org/10.33706/jemcr.550583
AMA Çolak T, Çelik K. A Case of Spontaneous Pneumomediastinum. Journal of Emergency Medicine Case Reports. January 2019;10(1):29-32. doi:10.33706/jemcr.550583
Chicago Çolak, Tamer, and Kaan Çelik. “A Case of Spontaneous Pneumomediastinum”. Journal of Emergency Medicine Case Reports 10, no. 1 (January 2019): 29-32. https://doi.org/10.33706/jemcr.550583.
EndNote Çolak T, Çelik K (January 1, 2019) A Case of Spontaneous Pneumomediastinum. Journal of Emergency Medicine Case Reports 10 1 29–32.
IEEE T. Çolak and K. Çelik, “A Case of Spontaneous Pneumomediastinum”, Journal of Emergency Medicine Case Reports, vol. 10, no. 1, pp. 29–32, 2019, doi: 10.33706/jemcr.550583.
ISNAD Çolak, Tamer - Çelik, Kaan. “A Case of Spontaneous Pneumomediastinum”. Journal of Emergency Medicine Case Reports 10/1 (January 2019), 29-32. https://doi.org/10.33706/jemcr.550583.
JAMA Çolak T, Çelik K. A Case of Spontaneous Pneumomediastinum. Journal of Emergency Medicine Case Reports. 2019;10:29–32.
MLA Çolak, Tamer and Kaan Çelik. “A Case of Spontaneous Pneumomediastinum”. Journal of Emergency Medicine Case Reports, vol. 10, no. 1, 2019, pp. 29-32, doi:10.33706/jemcr.550583.
Vancouver Çolak T, Çelik K. A Case of Spontaneous Pneumomediastinum. Journal of Emergency Medicine Case Reports. 2019;10(1):29-32.