Young Man With Acute Chest Pain

Liu, Hsiang-Wen; Liao, Pen An

doi:10.1016/j.annemergmed.2018.06.040

Cited by 4 publications

(2 citation statements)

References 4 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“… 67 , 68 Even when no triggering factor is present, SPM should be considered in the differential diagnosis of any young adult presenting with acute onset chest pain. 69 , 70 Other common symptoms include subcutaneous emphysema with crepitus, especially in the neck, neck pain, dyspnea, cough, odynophagia, and dysphagia. Esophageal perforation (Boerhaave syndrome) could also present with a similar presentation and should be considered, especially in patients who have severe vomiting; but they typically present with signs and symptoms of shock.…”

Section: Discussionmentioning

confidence: 99%

Spontaneous Pneumorachis – A Case-Based Review

Venkataramanan¹,

George²,

Sahu³

2021

JAA

View full text Add to dashboard Cite

Pneumorachis is characterized by the presence of free air in the spinal canal. It is referred by different names in literature such as epidural emphysema, intraspinal air, intraspinal pneumoc(o)ele, spinal epidural and subarachnoid pneumatosis, spinal and epidural emphysema, aerorachia, pneumosaccus, air myelogram, etc. Pneumorachis can be broadly classified as traumatic, iatrogenic, or spontaneous. In this case-based review, we present a case of spontaneous pneumorachis secondary to asthma exacerbation. This is followed by a systematic review of all cases of spontaneous pneumorachis identified in PubMed. The aim of this review is to understand the pathophysiology, common causes and the management of spontaneous pneumorachis.

show abstract

Section: Discussionmentioning

confidence: 99%

Spontaneous Pneumorachis – A Case-Based Review

Venkataramanan¹,

George²,

Sahu³

2021

JAA

View full text Add to dashboard Cite

show abstract

“…Pulmonary system-related chest pain is also not highly prevalent, accounting for 1.82–12.78% [ 1 , 9 , 12 , 14 , 15 , 16 , 17 , 31 ], with common causes including pneumothorax, asthma, pneumonia, and the less common pneumomediastinum [ 32 , 33 , 34 , 35 , 36 , 37 , 38 , 39 ]. Some of these diseases can be potentially life-threatening, such as tension pneumothorax.…”

Section: Etiology Of Chest Pain In Children and Adolescentsmentioning

confidence: 99%

Pediatric Chest Pain: A Review of Diagnostic Tools in the Pediatric Emergency Department

Huang,

Liu

2024

Diagnostics

View full text Add to dashboard Cite

Pediatric chest pain is a common chief complaint in the emergency department. Not surprisingly, children with chest pain are usually brought to the emergency department by their parents out of fear of heart disease. However, chest pain in the pediatric population is generally a benign disease. In this review, we have identified musculoskeletal pain as the most prevalent etiology of chest pain in the pediatric population, accounting for 38.7–86.3% of cases, followed by pulmonary (1.8–12.8%), gastrointestinal (0.3–9.3%), psychogenic (5.1–83.6%), and cardiac chest pain (0.3–8.0%). Various diagnostic procedures are commonly used in the emergency department for cardiac chest pain, including electrocardiogram (ECG), chest radiography, cardiac troponin examination, and echocardiography. However, these examinations demonstrate limited sensitivity in identifying cardiac etiologies, with sensitivities ranging from 0 to 17.8% for ECG and 11.0 to 17.2% for chest radiography. To avoid the overuse of these diagnostic tools, a well-designed standardized algorithm for pediatric chest pain could decrease unnecessary examination without missing severe diseases.

show abstract

Spontaneous pneumorrhachis with pneumomediastinum, scrotal emphysema, and extensive subcutaneous emphysema in a patient with pneumonia: A case report and literature review

Zhuang

Zou

Huang

et al. 2023

Pediatric Pulmonology

View full text Add to dashboard Cite

Background Spontaneous pneumorrhachis with pneumomediastinum, scrotal emphysema, and extensive subcutaneous emphysema caused by acute pneumonia are rarely observed in clinical practice. Case Presentation Herein, we report a case of a 12‐year‐old boy with spontaneous pneumorrhachis with pneumomediastinum, scrotal emphysema, and extensive subcutaneous emphysema caused by a severe cough due to mycoplasma pneumonia. This patient neither received invasive or noninvasive ventilator treatment nor surgical treatment before the onset of the disease. After treatment, the patient recovered smoothly and was discharged from the hospital. Literature Review We reviewed all cases of spontaneous pneumorrhachis in children and adolescents between 1988 and 2022 in the PubMed database. Twenty‐seven cases met our inclusion criteria, and the data on demographic information, triggers, comorbidities, symptoms, imaging findings, treatment, and prognosis were extracted and analyzed. Conclusion Although spontaneous pneumorrhachis is a rare condition, it has been reported in children. Computed tomography scanning is the gold standard for its detection. Spontaneous pneumorrhachis is typically a benign disease. This condition usually does not require any special treatment and should be monitored as common types of air leaks, such as pneumothorax and pneumomediastinum.

show abstract

Young Man With Acute Chest Pain

Cited by 4 publications

References 4 publications

Spontaneous Pneumorachis – A Case-Based Review

Spontaneous Pneumorachis – A Case-Based Review

Pediatric Chest Pain: A Review of Diagnostic Tools in the Pediatric Emergency Department

Spontaneous pneumorrhachis with pneumomediastinum, scrotal emphysema, and extensive subcutaneous emphysema in a patient with pneumonia: A case report and literature review

Contact Info

Product

Resources

About