Spontaneous pneumomediastinum is a rare disease process with no clear etiology, although it is thought to be related to changes in intrathoracic pressure causing chest pain and dyspnea. We present a case of a 17-year-old male with acute chest pain evaluated initially by bedside ultrasound, which showed normal lung sliding but poor visualization of the parasternal and apical cardiac views due to significant air artifact, representing air in the thoracic cavity. The diagnosis was later verified by chest radiograph. We present a case report on ultrasound-diagnosed pneumomediastinum, and we review the diagnostic modalities to date.
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http://dx.doi.org/10.5811/westjem.2015.1.24514 | DOI Listing |
Cureus
November 2024
Acute Internal Medicine, Mid and South Essex NHS Foundation Trust, Essex, GBR.
Spontaneous pneumomediastinum (SPM) is an uncommon condition caused by alveolar rupture due to increased intra-alveolar pressure resulting in air tracking along the tracheobronchial tree. While chest pain, neck pain, and dyspnea are the most commonly described symptoms, bradycardia could be an associated manifestation occasionally. In the majority of cases, pneumomediastinum is usually diagnosed on chest X-ray.
View Article and Find Full Text PDFJ Am Coll Emerg Physicians Open
December 2024
Edward Via College of Osteopathic Medicine-Carolinas Campus Spartanburg South Carolina USA.
Spontaneous pneumomediastinum is an infrequent condition typically secondary to smoking, illicit drug use, or asthma. The condition often follows barotrauma or bronchial hyperactivity, causing alveolar destruction and air trapping within the mediastinum. Rarely, it may present following strenuous exercise, particularly in tall, thin males, resembling the presentation of pneumothorax.
View Article and Find Full Text PDFCureus
November 2024
Department of Radiology, Unidade Local de Saúde de São João, Porto, PRT.
Cureus
October 2024
4th Department of Surgery, "Attikon" University Hospital, National and Kapodistrian University of Athens, Athens, GRC.
Spontaneous esophageal rupture, also known as Boerhaave syndrome, represents an unusual yet clinically significant condition characterized by the rupture of the esophageal wall due to a sudden increase in intraluminal pressure, typically induced by vomiting, concomitant with negative intrathoracic pressure dynamics. This condition poses a challenging clinical entity, presenting high mortality rates, especially when treatment is delayed. Surgical intervention is frequently employed as the primary management strategy, while non-surgical approaches, including stent placement and endoluminal vacuum therapy, are less commonly utilized.
View Article and Find Full Text PDFClin Case Rep
November 2024
Department of Internal Medicine, Kalafong Provincial Tertiary Hospital Pretoria University of Pretoria Pretoria South Africa.
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