Spontaneous Pneumomediastinum: A Comparative Study and Review of the Literature

Caceres, Manuel; Ali, Syed Z.; Braud, Rebecca; Weiman, Darryl S.; Garrett, H. Edward

doi:10.1016/j.athoracsur.2008.04.067

Cited by 280 publications

(394 citation statements)

References 15 publications

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“…La disnea es el segundo síntoma más frecuente 1,4,7,15 , presentándose en el 19,4 al 88% de las series 6,10 . Otros síntomas son odinofagia, dolor cervical y con menos frecuencia molestias cervicales vagas, disfonía, disfagia, tos persistente, rinolalia, náuseas y ansiedad 1,[3][4][5][6][7]15,32,33 .…”

Section: Discussionunclassified

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Neumomediastino espontáneo (síndrome de Hamman), una entidad poco frecuente no siempre reconocida

Silva

2013

Rev Chil Cir

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Spontaneous pneumomediastinumIntroduction: Pneumomediastinum or Hamman syndrome usually appears in young males; any condition provoking Valsalva maneuvers can be a predisposing factor. Clinical case: We report an 18 years old male admitted to the emergency room for polydipsia, polyphagia, malaise, profuse vomiting and chest pain. A diabetic ketoacidosis was diagnosed and a chest X ray film showed a pneumomediastinum. The patient was compensated metabolically and an esophageal X ray examination discarded esophageal perforation. He was discharged in good conditions seven days after admission.

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Section: Discussionunclassified

“…La sensibilidad reportada en la literatura varía ampliamente desde 30% hasta 100% 1,7,9,15,32,34,35 . Según algunos autores, ésta aumenta al tomar proyecciones AP y lateral en comparación con la proyección AP exclusiva.…”

Section: Imagenología Y Estudios Complementariosunclassified

Neumomediastino espontáneo (síndrome de Hamman), una entidad poco frecuente no siempre reconocida

Silva

2013

Rev Chil Cir

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“…Our patient had no other predisposing factors for pneumomediastinum, such as chronic obstructive pulmonary disease or airway infection, post-tuberculosis. Some reports of spontaneous pneumomediastinum have revealed that no inducing factor may be found [3,4]; however, bronchoscopy was not always performed in these studies. Therefore, in our patient, the potential causes of the pneumomediastinum were incidentally revealed by bronchoscopy and may have been related to the cratered surface of the bronchus.…”

Section: Discussionmentioning

confidence: 86%

“…Spontaneous pneumomediastinum is generally considered to be a benign disease with a good prognosis. Both recurrence of spontaneous pneumomediastinum and prolonged cases (over two months) have been reported [4]. In general, however, few cases of recurrent pneumomediastinum have been reported, highlighting its benign nature [10].…”

Section: Discussionmentioning

confidence: 99%

“…However, many authors understand that the occurrence of pneumomediastinum may be more frequent than initially believed because many patients refrain from medical visits [2]. In addition, almost patients without any risk factors are diagnosed to spontaneous pneumomediastinum [3,4]. This report describes a middle-aged patient who developed pneumomediastinum after breath-holding at work.…”

Section: Introductionmentioning

confidence: 97%

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A possible new risk factor causing pneumomediastinum in a middle-aged patient: Anatomical weakness in the bronchial wall

Namiki¹,

Matsuno²,

Kobayashi³

2017

IJCRI

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International Journal of Case Reports and Images (IJCRI) is an international, peer reviewed, monthly, open access, online journal, publishing high-quality, articles in all areas of basic medical sciences and clinical specialties.Aim of IJCRI is to encourage the publication of new information by providing a platform for reporting of unique, unusual and rare cases which enhance understanding of disease process, its diagnosis, management and clinico-pathologic correlations.IJCRI publishes Review Articles, Case Series, Case Reports, Case in Images, Clinical Images and Letters to Editor. Website: www.ijcasereportsandimages.comA possible new risk factor causing pneumomediastinum in a middle-aged patient: Anatomical weakness in the bronchial wallHirofumi Namiki, Kazuhiko Matsuno, Tadashi Kobayashi ABSTRACT Introduction: Pneumomediastinum is a rare condition that occurs after physical trauma or other situations that lead to air leakage into the mediastinum. The present report describes a middle-aged patient with pneumomediastinum caused by breath-holding at work. Case Report: A 59-year-old Japanese male presented sudden coughing immediately after breath-holding at work. A chest X-ray was normal, and a computed tomography scan showed pneumomediastinum. The patient had no other predisposing factors for pneumomediastinum, such as trauma, chronic obstructive pulmonary disease or airway infection. Bronchoscopy revealed an anatomical weakness in the bronchial wall. He recovered with two months of conservative treatment. Conclusion: Pneumomediastinum should be considered in middle-aged patients who develop sudden coughing immediately after breath-holding. Anatomical weakness in the bronchial wall should be considered as a possible new risk factor.

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Patient Study 61

Saksena

2015

Patient Studies in Valvular, Congenital, and Rarer Forms of Cardiovascular Disease

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Spontaneous Pneumomediastinum: A Comparative Study and Review of the Literature

Cited by 280 publications

References 15 publications

Neumomediastino espontáneo (síndrome de Hamman), una entidad poco frecuente no siempre reconocida

Neumomediastino espontáneo (síndrome de Hamman), una entidad poco frecuente no siempre reconocida

A possible new risk factor causing pneumomediastinum in a middle-aged patient: Anatomical weakness in the bronchial wall

Patient Study 61

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