Spontaneous pneumomediastinum—a right pain in the neck?

Hutchison, Ross P.J.; Burgess, B J

doi:10.1016/j.injury.2004.12.032

Cited by 5 publications

(6 citation statements)

References 9 publications

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“…The chest pain is usually pleuritic in nature and has been reported to radiate to the neck [8] or back [8, 10]. Neck swelling corresponding to underlying subcutaneous emphysema is also common [3, 5, 8, 13, 15, 16].…”

Section: Discussionmentioning

confidence: 99%

“…Neck swelling corresponding to underlying subcutaneous emphysema is also common [3, 5, 8, 13, 15, 16]. Dysphagia [6, 10], sore throat/odynophagia [3, 5, 9, 16, 17], and dysphonia [7] have also been documented. The time of presentation is variable as patients present several hours to days after consumption of the substance.…”

Section: Discussionmentioning

confidence: 99%

“…Electrocardiograms and blood tests in reported cases have been unremarkable [6, 10]. Echocardiogram in one case showed evidence of pneumomediastinum [7].…”

Section: Discussionmentioning

confidence: 99%

“…They often show subcutaneous emphysema [3, 8, 10, 12] and may suggest pneumomediastinum [7–9, 13–15]. They also reveal any related pneumothoraces [3, 5, 15].…”

Section: Discussionmentioning

confidence: 99%

“…They also reveal any related pneumothoraces [3, 5, 15]. Computed tomography (CT) helps identify and quantify pneumomediastinum and pneumothoraces [5–7, 10, 12]. …”

Section: Discussionmentioning

confidence: 99%

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Extensive Subcutaneous Emphysema and Pneumomediastinum after Ecstasy Ingestion

Gungadeen

Moor

2013

Case Reports in Otolaryngology

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Objective. To present a rare case of extensive subcutaneous emphysema and spontaneous pneumomediastinum following ingestion of Ecstasy in a young adult. We also review the relevant literature and discuss how this case supplements it. Case Report. We report a case of a 19-year-old man with a history of painless neck and chest swelling, and no chest pain or breathlessness, after consuming Ecstasy tablets. Radiological imaging showed evidence of pneumomediastinum and extensive subcutaneous emphysema. The patient remained well under observation and his symptoms improved with conservative management. Conclusions. Subcutaneous emphysema and pneumomediastinum after Ecstasy ingestion is uncommon. Cases are often referred to the otolaryngologist as they can present with neck and throat symptoms. Our case showed that the severity of symptoms may not correlate with severity of the anatomical abnormality and that pneumomediastinum should be suspected in Ecstasy users who present with neck swelling despite the absence of chest symptoms. Although all cases reported so far resolved with conservative management, it is important to perform simple investigations to exclude coexisting serious pathology.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

“…Electrocardiograms and blood tests in reported cases have been unremarkable [6, 10]. Echocardiogram in one case showed evidence of pneumomediastinum [7].…”

Section: Discussionmentioning

confidence: 99%

“…They often show subcutaneous emphysema [3, 8, 10, 12] and may suggest pneumomediastinum [7–9, 13–15]. They also reveal any related pneumothoraces [3, 5, 15].…”

Section: Discussionmentioning

confidence: 99%

“…They also reveal any related pneumothoraces [3, 5, 15]. Computed tomography (CT) helps identify and quantify pneumomediastinum and pneumothoraces [5–7, 10, 12]. …”

Section: Discussionmentioning

confidence: 99%

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