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Non-invasive management of severe subcutaneous emphysema in a pediatric asthma exacerbation: a case report and review.
Int J Emerg Med
December 2024
Pediatric Intensive Care Unit, King Salman Medical City, Madinah, Saudi Arabia.
Background: Spontaneous pneumomediastinum (SPM) and subcutaneous emphysema (SE) are rare, severe, and potentially life-threatening complications associated with asthma exacerbation. Most of these conditions are benign and self-limiting. However, the overlapping symptoms between asthma exacerbation and pneumomediastinum (PM) may delay diagnosis.
View Article and Find Full Text PDFAsymptomatic Bradycardia and Normal Chest Radiography in a Patient With Spontaneous Pneumomediastinum: A Case Report of a Rare Entity.
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 PDFA case of spontaneous pneumomediastinum in a triathlete.
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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 PDFHamman Syndrome: A Case Report of Interlobar Pneumothorax, Pneumopericardium, and Pneumorrhachis.
Cureus
November 2024
Department of Radiology, Unidade Local de Saúde de São João, Porto, PRT.
Article Synopsis
- Hamman syndrome is a rare, benign condition marked by air in the mediastinum without an external cause, usually affecting young adults and linked to activities that raise intrathoracic pressure, like coughing or asthma attacks.* -
- An 18-year-old male asthmatic patient experienced shortness of breath, chest pain, and subcutaneous emphysema, leading to imaging that revealed pneumomediastinum and other related issues.* -
- Treatment involved supplemental oxygen and pain relief, with symptoms improving and imaging showing resolution of pneumomediastinum within four days, highlighting the importance of accurate diagnosis through imaging to distinguish it from serious conditions.*
Nonoperative Management of Boerhaave Syndrome: A Case Study.
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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.
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