A Rare Cause of Chest Pain in an Adolescent Patient in the Pediatric Emergency Department: Spontaneous Pneumomediastinum

Abstract

Spontaneous pneumomediastinum (SPM), is a rare and benign entity in the pediatric population. Alveolar rupture as a result of increased intrathoracic pressure due to an asthma attack, vomiting or Valsalva maneuvers (e.g., forceful cough, shouting), is the most frequent reason. Here, we report a 14-year-old male patient who presented to the pediatric emergency department with chest pain and was diagnosed with SPM, and discuss the clinical and radiological characteristics as well as the management of SPM.

Keywords

• Pediatric emergency,Chest pain,Mediastinal emphysema,Pneumomediastinum

Çocuk Acil Polikliniğinde Adölesan Olguda Göğüs Ağrısının Nadir Bir Nedeni: Spontan Pnömomediastinum

Abstract

Spontan pnömomediastinum (SPM), çocukluk çağında nadir görülen genellikle iyi seyirli bir durumdur. İntratorasik basıncın artmasına neden olan astım atağı, kusma veya valsalva manevraları (öksürük, bağırma) sonucunda gerilen alveollerin rüptürü en sık nedenidir. Burada, şiddetli göğüs ağrısı nedeniyle çocuk acil servise başvuran ve akciğer grafisinde pnömomediastinum saptanan 14 yaşında bir erkek hasta sunulmuş, bu olgudan yola çıkılarak klinik ve radyolojik özellikleri ile birlikte SPM olgu yönetimi tartışılmıştır.

Keywords

• Çocuk acil,Göğüs ağrısı,Mediastinal amfizem,Pnömomediastinum

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