Spontaneous Pneumomediastinum in an Adolescent

Adya, CM; Maurya, Vinay; Charan, VD; Bairaria, Aks

doi:10.1016/s0377-1237(05)80026-7

Cited by 4 publications

(4 citation statements)

References 7 publications

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“…They did not classify or report this case as ISPM. Three studies present SPM in adolescents, without any triggering factor or underlying aetiology, with good recovery after conservative treatment [10][11][12]. They also did not use the term ISPM for these cases.…”

Section: Discussionmentioning

confidence: 99%

Idiopathic Spontaneous Pneumomediastinum in an Adolescent

Malik¹,

Boyes²,

Dobson³

et al. 2021

Cureus

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Idiopathic spontaneous pneumomediastinum (ISPM) is a diagnosis of exclusion after a spontaneous pneumomediastinum (SPM) occurs without any identifiable predisposing factors or known aetiology. It is a rare diagnosis in adolescents, with a few cases reported in the literature. To increase awareness of this rare diagnosis, we present a case of a 17-year-old, fit and healthy male who presented with acute atraumatic chest pain. On examination, surgical emphysema in the supraclavicular fossa was identified. His chest X-ray and a subsequent computed tomography (CT) of the thorax showed extensive pneumomediastinum, with infiltration of air into the soft tissues of the neck and upper arms, but with no identifiable cause. On followup, he remained asymptomatic, and a repeat CT of the thorax four weeks after his initial presentation showed complete resolution of the pneumomediastinum. Once confirmed, ISPM is expected to resolve spontaneously without complications, with a very low rate of recurrence in nearly all cases.

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Section: Discussionmentioning

confidence: 99%

Idiopathic Spontaneous Pneumomediastinum in an Adolescent

Malik¹,

Boyes²,

Dobson³

et al. 2021

Cureus

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“…Puede irradiarse al cuello, el hombro y el brazo. Su carácter agudo puede alertar al médico sobre una patología orgánica grave a pesar de su comportamiento benigno 8 .…”

Section: Discussionunclassified

Síndrome de Hamman: presentación de dolor torácico en un adolescente

Morcillo¹,

Vallejo²

2015

Revista Colombiana de Cardiología

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Resumen El dolor torácico en adolescentes es una causa de consulta frecuente en los servicios de urgencias; si el dolor es de inicio agudo, causa ansiedad y temor en los pacientes, que lo relacionan con una patología cardiovascular. Su amplia variedad de posibilidades diagnósticas constituye un desafío para el médico de urgencias que se enfrenta a este síntoma. Se presenta el caso de un adolescente de 15 años de edad previamente sano que comenzó con dolor precordial irradiado al cuello de inicio agudo y en quien se documentó un síndrome de Hamman como manifestación de un neumomediastino espontáneo. Hamman's syndrome as the cause of chest pain in an adolescentAbstract Chest pain in adolescents is a common cause of consultation in emergency services, if the pain is of acute onset it causes anxiety and fear in patients that relate it to a cardiovascular disease. Its wide variety of diagnostic possibilities poses a challenge for the emergency physician faced with this symptom. We present the case of a previously healthy 15 year old who debuted with chest pain of acute onset radiating to the neck. Hamman's syndrome was documented to have caused the symptoms.

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“…1 Although rare, it is seen in young adults presenting with dyspnoea and chest pain. 2 It is usually self-limited unless tension pneumomediastinum, tension pneumothorax, air tamponade, cardiac herniation and oesophageal rupture occur. 3,4 A 19-year-old man presented with spontaneous pneumothorax, pneumomediastinum, bilateral surgical emphysema and pneumopericardium without any identifiable cause.…”

Section: Introductionmentioning

confidence: 99%

Pneumopericardium, pneumomediastinum and surgical emphysema in spontaneous pneumothorax

Deshmukh¹,

Archana²,

Baalamurugan³

et al. 2022

NMJI

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Spontaneous pneumothorax leading to pneumomediastinum, pneumopericardium and surgical emphysema is a benign condition. Progression to the development of epidural pneumatosis is rare. We report a 19-year-old man who presented with dyspnoea and swelling of the chest wall following a bout of cough. Bilateral subcutaneous emphysema was palpated on the anterior chest wall from the sternum to the midaxillary regions. His chest X-ray revealed subcutaneous emphysema and pneumopericardium. His computed tomography of the thorax to rule out life-threatening conditions revealed bilateral subcutaneous emphysema, pneumomediastinum, pneumo-pericardium and pneumothorax. He was transferred to the intensive care unit. An intercostal drainage tube was inserted in the left pleural cavity. The patient was followed up with repeat chest X-rays. The patient’s symptom got relieved and was discharged after day 9. Diagnosis of pneumomedia-stinum may not be as lamentable as it is seen. Close cardio-pulmonary monitoring is mandatory for complications and accompanying conditions. Most patients with uncomplicated spontaneous pneumomediastinum respond well to oxygen and conservative management. In this case, the patient’s symptoms and severe tachypnoea prompted the insertion of an intercostal drainage tube.

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Spontaneous Pneumomediastinum in an Adolescent

Cited by 4 publications

References 7 publications

Idiopathic Spontaneous Pneumomediastinum in an Adolescent

Idiopathic Spontaneous Pneumomediastinum in an Adolescent

Síndrome de Hamman: presentación de dolor torácico en un adolescente

Pneumopericardium, pneumomediastinum and surgical emphysema in spontaneous pneumothorax

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