Systematic review of spontaneous pneumomediastinum: A survey of 22 years’ data

Dajer-Fadel, Walid Leonardo; Argüero‐Sánchez, Rubén; Ibarra-Pérez, Carlos; Navarro-Reynoso, Francisco

doi:10.1177/0218492313504091

Cited by 65 publications

(107 citation statements)

References 28 publications

(24 reference statements)

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“…6 En otros 2 estudios, el principal factor desencadenante fueron los episodios de tos. 3,4 Cabe mencionar que en esas mismas investigaciones en 11 a 34 % de los casos no se logró identificar el factor desencadenante.…”

Section: Discussionunclassified

“…3,4 Cabe mencionar que en esas mismas investigaciones en 11 a 34 % de los casos no se logró identificar el factor desencadenante. 3,5,6 En la paciente descrita al parecer fue la tos paroxística asociada con broncoespasmo.…”

Section: Discussionunclassified

“…4 Los eventos desencadenantes del NME de mayor relevancia son tos, vómito, problemas de alimentación, actividad física y uso de drogas inhaladas. 3,4,5,6 Los síntomas habituales del NME son disnea, dolor torácico, tos, dolor en cuello, disfagia y odinofagia; 3,4,5,6 que habitualmente están acompañados de enfisema subcutáneo en la región torácica, el cual que puede extenderse hasta la región del cuello. 6 El signo de Hamman, considerado patognomó-nico, que consiste en ruido sincrónico con los latidos del corazón, 7 se identifica en aproximadamente 6 a 14 % de los pacientes con NME.…”

Section: Introductionunclassified

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Neumomediastino espontáneo y enfisema subcutáneo asociado con broncoespasmo en una mujer sin antecedente de asma

Bedolla-Pulido

Bedolla-Barajas

2017

RAM

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Este artículo debe citarse como: Bedolla-Pulido TR, Bedolla-Barajas M. Neumomediastino espontáneo y enfisema subcutáneo asociado con broncoespasmo en una mujer sin antecedente de asma. Rev Alerg Mex. 2017;64(3):386-389 AbstractBackground: Spontaneous pneumomediastinum most relevant triggering events are cough, vomiting, nutritional problems, physical activity and use of inhaled drugs. Association of spontaneous pneumomediastinum with non-asthma-related bronchospasm is an infrequent event.Clinical case: This is the case of a 21-year-old woman without personal or family history of asthma, allergic rhinitis or atopy who during late puerperium had 39 °C fever, paroxysmal cough and chest oppression of sudden onset, as well as wheezing and subcutaneous emphysema of the neck; she had no previous nasal symptoms. Chest X-ray revealed free air in the mediastinum and left lateral side of the neck. Possible cause of the condition was attributed to bronchospasm related to airway infection. Treatment was based on bronchodilators, systemic steroids and supplementary oxygen administration. The symptoms subsided after 48 hours. Conclusions: In the clinical case herein presented, spontaneous pneumomediastinum precipitating factor appeared to be paroxysmal cough associated with bronchospasm and, hence, we suggest for this entity to be suspected in patients even if there is no previous history of asthma.

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Section: Discussionunclassified

Section: Introductionunclassified

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Neumomediastino espontáneo y enfisema subcutáneo asociado con broncoespasmo en una mujer sin antecedente de asma

Bedolla-Pulido

Bedolla-Barajas

2017

RAM

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“…As misdiagnosis and delayed treatment of pneumomediastinum can lead to a tension pneumothorax and ultimately to death, it is imperative that patients are monitored for at least 48 h. Tension pneumomediastinum has rarely been reported, in which elevated mediastinal pressure leads to diminished cardiac output because of direct cardiac compression or reduced venous return, which can require surgical decompression. 5 When extensive subcutaneous and mediastinal gas is present, airway compression may also occur, which may necessitate surgical or radiological intervention.…”

Section: Discussionmentioning

confidence: 99%

Subcutaneous Emphysema in Acute Asthma: A Cause for Concern?

2015

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Pneumomediastinum has been described in patients with asthma. In this case report, we describe a young patient who presented to our medical assessment unit with an asthma exacerbation and progressive dyspnea. The patient developed pneumomediastinum, a rare complication of an asthma exacerbation. Pneumomediastinum is usually characterized by chest pain, dyspnea, and neck swelling caused by subcutaneous emphysema. Although the condition is usually benign and treatment is primarily supportive, surgical intervention may be needed if the patient develops hemodynamic compromise or respiratory failure through mechanisms similar to those seen in a tension pneumothorax.

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“…Spontaneous pneumomediastinum (SPM) is an uncommon disease defined by the presence of free air in the mediastinal cavity [1][2][3]. Reported for the first time by Hammam [4], SPM is an uncommon disorder with an incidence less than 1:44.000 [2,5]; among emergency room visits the frequency calculated is 0.0025% [1,6,7].…”

Section: Introductionmentioning

confidence: 99%

Subcutaneous Emphysema and Pneumomediastinum in 2 Years Old Children with Pierre Robin Syndrome: Multi-Disciplinary Management in an Emergency Department

Porta¹,

Ghiselli²,

Mevio³

et al. 2017

Intensive & Crit Care

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Spontaneous pneumomediastinum (SPM) is an uncommon disease defined by the presence of free air in the mediastinal cavity. Its pathogenesis is characterized by all the processes that cause a sudden increase of intrathoracic pressure. Triggering factors are: lower airway infections, asthma, esophageal rupture, foreign body aspiration and diabetic ketoacidosis. When a cause is not found, SPM is defined idiopathic. The abnormal presence of air in mediastinum can cause subcutaneous emphysema (SE) in the neck and upper part of the thorax. The aim of this report was to describe a patient with an underlying genetic disorder (Pierre Robin syndrome) and SPM with consequent SE. A multidisciplinary approach in our Accident and Emergency department was important for the right management.

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Systematic review of spontaneous pneumomediastinum: A survey of 22 years’ data

Abstract: Spontaneous pneumomediastinum is a rare disease with a benign course, which should be treated conservatively unless a complication mandates an invasive procedure. An algorithm for diagnosis and treatment is offered, based on the available evidence.

Cited by 65 publications

References 28 publications

Neumomediastino espontáneo y enfisema subcutáneo asociado con broncoespasmo en una mujer sin antecedente de asma

Neumomediastino espontáneo y enfisema subcutáneo asociado con broncoespasmo en una mujer sin antecedente de asma

Subcutaneous Emphysema in Acute Asthma: A Cause for Concern?

Subcutaneous Emphysema and Pneumomediastinum in 2 Years Old Children with Pierre Robin Syndrome: Multi-Disciplinary Management in an Emergency Department

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