A case of retropharyngeal emphysema associated with drug abuse is presented. Although chest symptoms of pneumomediastinum have been widely reported with substance abuse, pain localized to the neck is rarely described. In the present case, localized dysphagia was the only complaint, and no free air could be demonstrated within the thorax. For uncomplicated cervical emphysema or pneumomediastinum due to substance abuse, extensive workup may be unnecessary, and conservative therapy, including administration of 100% oxygen and observation is recommended if resolution is prompt.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.1016/0736-4679(90)90283-2 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
A Case of an Atypical Presentation of Spontaneous Esophageal Rupture.
Cureus
April 2024
Otolaryngology - Head and Neck Surgery, Royal Medical Services, Riffa, BHR.
Article Synopsis
- Spontaneous esophageal rupture is a rare condition that occurs when there's a sudden increase in pressure inside the esophagus, often leading to severe chest pain.
- A 21-year-old woman presented to the emergency department with intense chest pain, but her exams showed no signs of common causes like trauma or foreign body ingestion.
- Imaging tests revealed air in the chest and neck but no actual injury to the esophagus; she was treated successfully with medications and showed improvement without needing surgery.
Emphysematous pyelonephritis with progression to necrotising fasciitis of the posterior cervical region and the retropharyngeal space.
BMJ Case Rep
February 2024
Urology, CMC Vellore, Vellore, Tamil Nadu, India.
A man in his 50s with diabetes presented with backache, left flank pain and fever. On evaluation, he was found to have emphysematous pyelonephritis of the left kidney with a paranephric abscess extending into the posterior abdominal wall and superiorly up to the posterior chest wall and inferiorly extending up to the posterior superior iliac spine. The management involved the initiation of broad-spectrum antibiotics and percutaneous drainage of the abscess.
View Article and Find Full Text PDFA 27-Year-Old Woman with an Exacerbation of Chronic Asthma Due to Influenza A Presenting with Pneumomediastinum, Retropharyngeal Emphysema, and Subcutaneous Emphysema.
Am J Case Rep
November 2023
Department of Pulmonary and Critical Care Medicine, Saint Michael's Medical Center, New York Medical College, Newark, NJ, USA.
BACKGROUND Influenza infection can trigger an asthma exacerbation, which can lead to spontaneous pneumomediastinum. This is a rare condition that typically occurs after a sudden increase in intra-alveolar pressure. Pneumomediastinum is usually a benign condition that can be treated with supportive care, and it can be accompanied by subcutaneous emphysema.
View Article and Find Full Text PDFOdynophagia in individuals with neck pain: the importance of differential diagnosis in physiotherapy practice.
J Yeungnam Med Sci
November 2023
Department of Continuity of Care and Integration, Physical Medicine and Rehabilitation, IRCCS Azienda Ospedaliero-Universitaria di Bologna, Bologna, Italy.
Odynophagia refers to painful swallowing caused by various underlying factors that must be excluded to determine the best treatment approach. Neck pain is a debilitating condition requiring treatment in rehabilitative settings. There are several circumstances in which odynophagia and neck pain coexist, such as tendinitis of the longus colli muscle and paravertebral calcification, prevertebral and retropharyngeal abscess, esophageal perforation, aortic dissection, thyroid cartilage fracture, thyrohyoid ligament syndrome, pneumomediastinum and subcutaneous emphysema, and after physical exercise.
View Article and Find Full Text PDFSpontaneous pneumomediastinum with subcutaneous emphysema in a young healthy female, a case report.
Heliyon
July 2023
Department of Radiology, University of Gondar, College of Medicine and Health Science, Gondar, Ethiopia.
The terms "free air or gas located within the mediastinum and subcutaneous tissue that are not associated with any obvious causes, such as chest trauma," are used to characterise spontaneous pneumomediastinum (SPM) and subcutaneous emphysema (SE). SPM has been linked to a variety of illnesses and causes, including bronchial asthma, diabetic ketoacidosis, strenuous exercise, strenuous coughing, medication intake, and other actions involving the Valsalva maneuver. We describe a case of spontaneous cervical, retropharyngeal, and mediastinal emphysema in a young female who was previously healthy.
View Article and Find Full Text PDFWant AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!