Cycling‐induced recurrent spontaneous pneumomediastinum and pneumopericardium in a young female patient

Herrmann, Anna; Herrmann, Matthias; Passlick, Bernward; Herth, Felix J.F.; Herrmann, Johannes

doi:10.1002/ccr3.5587

Cited by 3 publications

(4 citation statements)

References 11 publications

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“… 1 This results in terminal alveoli breakdown followed by air dissecting along the pulmonary sheaths into the mediastinum. 4 Air extension follows local pressure and depends on multiple anatomical conditions, which, in extreme cases may lead to gas dissecting into the pericardium along blood vessel sheaths 5 resulting in pneumopericardium, or into the neck along the deep cervical fascia like our case. This phenomenon is typically seen after blunt chest injuries, and its prevalence can go up to 39% of all pneumomediastinum following blunt injuries.…”

Section: Discussionmentioning

confidence: 83%

Laryngotracheal trauma-induced Macklin effect: A case report

Romdhane,

Chiboub,

Amri

et al. 2024

SAGE Open Medical Case Reports

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Laryngotracheal trauma is a relatively rare traumatic injury seen particularly in young male adults. Trauma due to strangulation is one of its most frequent circumstances. However rare, pneumomediastinum is a particular complication of severe blunt neck injuries leading to alveolar ruptures. This phenomenon, described as the Macklin effect, requires early diagnosis, and its management varies from conservative to surgical treatment depending on the severity of symptoms. Our aim is to describe the case of a 21-year-old male who presented with blunt neck trauma. Clinical and imaging findings revealed subcutaneous neck emphysema and pneumomediastinum. Treatment was conservative leading to complete resolution of the injuries and the patient was discharged after 2 weeks.

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Section: Discussionmentioning

confidence: 83%

Laryngotracheal trauma-induced Macklin effect: A case report

Romdhane,

Chiboub,

Amri

et al. 2024

SAGE Open Medical Case Reports

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“…Herrmann et al described a case of pneumomediastinum associated with cycling in March 2022 [12]. To the best of our knowledge, there are no other case reports describing a link between cycling and pneumomediastinum.…”

Section: Discussionmentioning

confidence: 95%

“…Identical to our patient’s case, Cavallari et al described as case of pneumomediastinum associated with exercise in a triathlete involved in cycling, swimming, and running in 2021 [ 11 ]. Herrmann et al described a case of pneumomediastinum associated with cycling in March 2022 [ 12 ]. To the best of our knowledge, there are no other case reports describing a link between cycling and pneumomediastinum.…”

Section: Discussionmentioning

confidence: 99%

Chest Tightness with Cycling Turned Out To Be Pneumomediastinum

Zafar

Afzal

2023

Am J Case Rep

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Objective:Rare disease Background:Pneumomediastinum, or mediastinal emphysema, means air present inside the mediastinum. It usually presents with symptoms of chest pain and shortness of breath. Examination can be significant for crepitus along the neck area. There are many risk factors associated with pneumomediastinum, including asthma and COVID-19.Most cases of pneumomediastinum improve with conservative management, and surgery (mediastinotomy) is reserved for complicated cases with tension pneumomediastinum. Case Report:This is the case of a 23-year-old man who presented with chest tightness after 3.5 h of cycling. The patient did have a prior history of clinically stable asthma, with no recent exacerbation, and denied any other associative factors. Imaging was significant for pneumomediastinum. The patient was admitted for observation in the hospital and treated with supportive care, without any surgical intervention. The patient had appropriate improvement in his symptoms in 24 h. Repeat imaging showed improvement in the pneumomediastinum, and the patient was discharged to outpatient follow-up. Conclusions:Our case presents a unique link between cycling and pneumomediastinum. Prolonged cycling may emerge as a risk factor for this complication. People with a previous history of pneumomediastinum should be careful to review other risk factors prior to planning long-distance bicycling. Physicians need to keep this differential diagnosis in mind when encountering a patient with similar symptoms so that a timely diagnosis is made.

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“…3 É uma condição rara na prática médica, com uma incidência de cerca de 1 por 30.000 pacientes de emergência, que acomete principalmente jovens do sexo masculino entre 17 e 25 anos, variando entre 7-28 por 100.000 em pacientes do sexo masculino e 1-6 por 100.000 em pacientes do sexo feminino. 2,4 Os principais achados clínicos da SH incluem tosse, disfonia, dor torácica súbita, dispneia, disfagia, estridor e enfisema subcutâneo, além de manifestar em alguns pacientes crepitações à ausculta cardíaca, característica altamente sugestiva da doença e conhecida como sinal de Hamman. 3,5 A fisiopatologia de tais achados baseia-se na ruptura alveolar causada por um gradiente de pressão entre os alvéolos e o interstício pulmonar, permitindo que o ar inspirado flua em direção ao hilo pulmonar e mediastino, efeito proposto por Macklin.…”

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Síndrome de Hamman: série de casos atendidos nos hospitais de urgência de Manaus - AM em 2021 e 2022

Queiroz¹,

Machado²,

Mendoza³

et al. 2023

Braz. J. Hea. Rev.

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O pneumomediastino é caracterizado pela presença de ar livre na cavidade mediastinal, e, quando espontâneo, não há evidências de traumas, pneumopatias prévias ou outra etiologia aparente. Esta é uma condição rara que afeta principalmente homens jovens e tem como principais manifestações clínicas a tosse, disfonia, dor torácica súbita, dispneia, disfagia, sibilância e enfisema subcutâneo. Para evitar o subdiagnóstico é necessária atenção cuidadosa, e, por isso, radiografia de tórax e tomografia computadorizada podem ser utilizadas como complemento na elucidação das hipóteses. Geralmente, medidas de suporte, analgesia e repouso norteiam o tratamento. Aqui, relatamos três casos de pacientes jovens com queixas de desconforto torácico e dispneia, apresentando enfisema subcutâneo, diagnosticados com síndrome de Hamman nos anos de 2021 e 2022 em hospitais de urgência da cidade de Manaus, Amazonas.

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Cycling‐induced recurrent spontaneous pneumomediastinum and pneumopericardium in a young female patient

Cited by 3 publications

References 11 publications

Laryngotracheal trauma-induced Macklin effect: A case report

Laryngotracheal trauma-induced Macklin effect: A case report

Chest Tightness with Cycling Turned Out To Be Pneumomediastinum

Síndrome de Hamman: série de casos atendidos nos hospitais de urgência de Manaus - AM em 2021 e 2022

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