Pneumomediastinum

Marchiori, Edson; Hochhegger, Bruno; Zanetti, Gláucia

doi:10.1590/1806-3713/e20190169

Cited by 6 publications

(5 citation statements)

References 2 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…[10] Marchiori et al reported that pneumomediastinum is characterized by the presence of air or gas in the mediastinum and can cause dyspnea, chest pain, crackles, and soft tissue emphysema. [2] Gasser et al stated that spontaneous pneumomediastinum is uncommon in children but must be considered in pediatric patients with acute chest and/ or neck pain. [5] In the present case series, 3 children presented at the ER with a history of organic foreign body inhalation complicated by pneumomediastinum.…”

Section: Discussionmentioning

confidence: 99%

“…Pneumomediastinum or mediastinal emphysema is a serious respiratory condition of abnormal air leakage into the mediastinal cavity. [1][2][3][4] If not fully treated, pneumomediastinum can result in devastating consequences, including pneumothorax, [2] pneumopericardium, pneumoperitoneum, pneumoretroperitoneum, [4] and subcutaneous emphysema. [5] Previous literature has identified that patients with asthma, diabetes, chest trauma, or lung cancer; those who exercise vigorously; those who gave birth; smokers; drug abusers; and those who experienced excessive coughing or vomiting had a higher risk of pneumomediastinum development.…”

Section: Introductionmentioning

confidence: 99%

“…[5] Previous literature has identified that patients with asthma, diabetes, chest trauma, or lung cancer; those who exercise vigorously; those who gave birth; smokers; drug abusers; and those who experienced excessive coughing or vomiting had a higher risk of pneumomediastinum development. [1,2,6,7] Pneumomediastinum can be categorized into 2 main types: spontaneous pneumomediastinum and secondary pneumomediastinum. [1,5] Spontaneous pneumomediastinum indicates the presence of pneumomediastinum in generally healthy individuals with no history of chest trauma, lung operations, injuries, or diseases.…”

Section: Introductionmentioning

confidence: 99%

“…[1,5] Spontaneous pneumomediastinum indicates the presence of pneumomediastinum in generally healthy individuals with no history of chest trauma, lung operations, injuries, or diseases. [1][2][3]5,6] On the other hand, secondary pneumomediastinum is considered if any of the underlying causes (iatrogenic, traumatic, non-traumatic) for air leaking into the mediastinum is identified. [1] Pneumomediastinum is a rare condition with varying incidences according to individual age, sex, and other factors.…”

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Pneumothorax/pneumomediastinum as a complication of foreign body inhalation in 3 pediatric patients: A case series

et al. 2022

View full text Add to dashboard Cite

Introduction: Foreign body inhalation (FBI) is a serious and common emergency in children. Such children present in the emergency room (ER) with cough, shortness of breath, choking, or wheezing but rarely present with pneumomediastinum. Patient concerns: Three children aged 2 to 5 years (2 girls and 1 boy) were seen in our ER complaining of FBI. Emergency bronchoscopy removal of the inhaled foreign body was performed; however, all 3 patients developed pneumomediastinum. Diagnosis: A foreign body inhalation complicated by Pneumomediastinum/pneumothorax. Intervention and outcomes: All the patients underwent emergency bronchoscopy and foreign body removal. After the ER intervention, 2 children were placed in the pediatric intensive care unit, and the pneumomediastinum resolved without intervention. The third patient required an operation for chest tube placement, which was then observed in the pediatric intensive care unit, and had several chest radiography follow-ups. After 5 days, the patient exhibited clinical improvement, and the chest tube was removed. Conclusion: In this case series, we present 3 cases of children aged 2 to 5 years seen in our ER with a history of different types of organic FBI complicated by pneumomediastinum/pneumothorax. Pneumomediastinum/pneumothorax is a rare complication of FBI in pediatric patients. However, such complications require multidisciplinary collaboration for early diagnosis and intervention.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Pneumothorax/pneumomediastinum as a complication of foreign body inhalation in 3 pediatric patients: A case series

et al. 2022

View full text Add to dashboard Cite

show abstract

“…The Macklin effect was first described in 1939, which describes a mechanism of increased intra-alveolar pressure leading to the rupture of alveoli [ 8 ]. The gaseous alveoli contents then track along bronchovascular sheaths and dissect into the thoracic hilum, leading to mediastinal emphysema [ 1 , 9 ]. As well as being secondary to blunt trauma, or trauma related to rapid deceleration, the Macklin effect can also occur in severe asthma exacerbations and positive pressure ventilation [ 1 ].…”

Section: Discussionmentioning

confidence: 99%

Oesophageal Injury in Traumatic Pneumomediastinum: A Review of the Past 11 Years in an Upper Gastrointestinal Specialist Centre

Shetty¹

2022

Cureus

View full text Add to dashboard Cite

Pneumomediastinum is a known radiological finding after major thoracic trauma; however, its significance and required investigative workup are not standardized. Furthermore, there is little evidence to suggest that traumatic pneumomediastinum is indicative of oesophageal injury. Our study sets out to investigate the incidence of oesophageal injury for these patients at our centre, and the relevant investigative workup is required. MethodsMedical records were retrieved from our trust (Major Trauma Centre: 2012 to present, Upper Gastro-Intestinal (UGI) Centre: 2009 to present) to include trauma patients with radiological pneumomediastinum admitted between 2010 and 2021. Demographics, mechanism of injury, length of stay, and other significant findings were collected retrospectively using the electronic patient record. ResultsThe data search retrieved 37 patients with traumatic pneumomediastinum. One patient was excluded due to incomplete records. Road traffic collisions were the most common presentation (18 patients), followed by falls (13 patients), penetrating trauma (three patients), assault (two patients), and workplace injury (one patient). The median length of stay was six days, with two inpatient deaths. One patient had a confirmed tracheobronchial injury on initial imaging which was managed conservatively, while six other patients underwent further oral contrast CT for suspected oesophageal injury. No patients in our dataset had a confirmed oesophageal injury. ConclusionOesophageal injury is rarely seen in traumatic pneumomediastinum and is usually secondary to other chest injuries causing an air leak into the mediastinum. Oral contrast CT is the recommended investigation to exclude oesophageal injury.

show abstract

Pneumomédiastin et vomissements : quelle démarche diagnostique ? À propos d’un cas

Debiche

Snène

Attia

et al. 2022

Revue des Maladies Respiratoires

View full text Add to dashboard Cite

Pneumomediastinum

Cited by 6 publications

References 2 publications

Pneumothorax/pneumomediastinum as a complication of foreign body inhalation in 3 pediatric patients: A case series

Pneumothorax/pneumomediastinum as a complication of foreign body inhalation in 3 pediatric patients: A case series

Oesophageal Injury in Traumatic Pneumomediastinum: A Review of the Past 11 Years in an Upper Gastrointestinal Specialist Centre

Pneumomédiastin et vomissements : quelle démarche diagnostique ? À propos d’un cas

Contact Info

Product

Resources

About