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Spontaneous pneumomediastinum

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https://www.readbyqxmd.com/read/29701374/bilateral-recurrent-spontaneous-pneumothorax-as-a-late-consequence-of-oesophageal-surgery-case-report
#1
Cristina Rodrigues, Daniel Cabral, Leonor Mota, António Bettencourt
INTRODUCTION: We report a case of a patient with recurrent bilateral spontaneous pneumothorax presumably originating in a left bulla. METHODS: A 68 year old male, was admitted to the emergency department with shortness of breath and bilateral chest pain. He had had oesophageal cancer resection 2 years before, with a posterior mediastinal reconstruction using a gastric tube. Afterwards he had to be operated twice for hiatal hernia. RESULTS: Bilateral chest tubes were inserted, with complete resolution in 72 hours...
July 2017: Revista Portuguesa de Cirurgia Cardio-torácica e Vascular
https://www.readbyqxmd.com/read/29692541/spontaneous-pneumomediastinum-pneumothorax-pneumorrhachis-pneumoretroperitoneum-surgical-emphysema
#2
Bogala Shilpa, Rashmi Sudhir, M V T Krishna Mohan, Veeraiah Koppula
No abstract text is available yet for this article.
January 2018: Indian Journal of Radiology & Imaging
https://www.readbyqxmd.com/read/29685465/concurrent-spontaneous-pneumomediastinum-and-pneumorrhachis
#3
Alexander J Heckman, Michael Mohseni, Armando Villanueva, Jennifer B Cowart, Charles G Graham
BACKGROUND: Spontaneous pneumomediastinum with concurrent pneumorrhachis (air in the spinal canal) and subcutaneous emphysema can be an alarming presentation, both clinically and radiographically. These clinical entities often require only conservative measures after ruling out any worrisome underlying causes. Management often involves appropriate imaging, hospital admission, and sub-specialty consultation as needed to help determine any potential causes for the presentation that may require anything more than a period of medical observation...
April 20, 2018: Journal of Emergency Medicine
https://www.readbyqxmd.com/read/29607207/pneumorrhachis-an-under-recognized-entity-correlates-with-severity-of-spontaneous-pneumomediastinum
#4
Yu-Wei Liu, Chieh-Ni Kao, Yi-Ming Wang
No abstract text is available yet for this article.
February 2018: Journal of Thoracic Disease
https://www.readbyqxmd.com/read/29571346/recurrent-spontaneous-pneumomediastinum-with-concurrent-pneumorrhachis-a-rare-clinical-entity
#5
Punithakumar Ramasamy, Suresh Babu Kale, Sivaraja Subramaniam, Kiruthiga Giridhar
Spontaneous pneumomediastinum is the presence of interstitial air in the mediastinal structures without an apparent cause. Pneumorrhachis is defined as the presence of air in the spinal canal. Concurrent pneumorrhachis is an extremely rare epiphenomenon of spontaneous pneumomediastinum without pneumothorax. Diagnosis is confirmed by radiologic imaging of the chest. Spontaneous pneumomediastinum and pneumorrhachis usually resolve with conservative therapy such as bed rest, analgesic agents, and supplemental oxygen...
April 2018: Annals of Thoracic Surgery
https://www.readbyqxmd.com/read/29445469/spontaneous-pneumomediastinum-in-a-term-neonate-case-report
#6
Gustavo Rocha, Hercília Guimarães
Pneumomediastinum after birth, without birth injury or resuscitation maneuvers, is an unusual situation that can present with grunting, deafening of cardiac sounds, and bulging of the hemithorax. If clinical condition allows, conservative approach is advised even if the pneumomediastinum does not spontaneously resolve in 1 or 2 days.
February 2018: Clinical Case Reports
https://www.readbyqxmd.com/read/29440243/spontaneous-pneumomediastinum
#7
Shilpa Ojha, Julian Gaskin
Spontaneous pneumomediastinum is the presence of free air within the mediastinum that is not associated with trauma. It is a rare, self-limiting condition that can cause widespread subcutaneous surgical emphysema. We present the case of a 12-year-old boy who presented with widespread spontaneous surgical emphysema and pneumomediastinum, with no history of trauma or respiratory tract disease. We discuss our assessment of him and management with our multidisciplinary team (MDT), and whether radiological investigations including CT are helpful in such cases...
February 11, 2018: BMJ Case Reports
https://www.readbyqxmd.com/read/29414895/a-case-of-spontaneous-pneumomediastinum-with-subcutaneous-emphysema-in-children
#8
Said Benlamkaddem, Mohamed Adnane Berdai, Smael Labib, Mustapha Harandou
Spontaneous pneumomediastinum is defined as free air or gas contained within the mediastinum, which almost invariably originates from the alveolar space or the conducting airways. It is rare in pediatric patients; however, occasional cases are reported to result from forced Valsalva's maneuver due to cough, emesis, a first attack of wheeze, or asthma exacerbations. We report the case of a 7-year-old previously healthy girl, with a history of persistent dry cough one day before, who was brought to our unit with face, neck and chest swelling...
February 7, 2018: Children
https://www.readbyqxmd.com/read/29382507/spontaneous-pneumomediastinum-following-electronic-cigarette-use
#9
Rita Daniela Marasco, Domenico Loizzi, Nicoletta Pia Ardò, Fabio Nicola Fatone, Francesco Sollitto
Spontaneous pneumomediastinum (SPM) is an uncommon condition typically occurring in young males presenting with pleuritic pain, dyspnea and subcutaneous emphysema. We reported an exceptional case of spontaneous pneumomediastinum following electronic cigarette use in an otherwise healthy young man.
January 27, 2018: Annals of Thoracic Surgery
https://www.readbyqxmd.com/read/29335355/snap-crackle-and-pop-when-sneezing-leads-to-crackling-in-the-neck
#10
Wanding Yang, Raguwinder S Sahota, Sudip Das
Spontaneous perforation of the pharynx is an unusual condition. Due to its non-specific presentation and general lack of awareness, diagnosis and intervention may be delayed resulting in potential complications. This case reports a rare spontaneous perforation of the pyriform sinus after a forceful sneeze, leading to cervical subcutaneous emphysema and pneumomediastinum.
January 15, 2018: BMJ Case Reports
https://www.readbyqxmd.com/read/29319833/spontan-pneumomediastinum-ovanlig-orsak-till-akut-br%C3%A3-stsm%C3%A3-rta
#11
Carl Wengse, Gustav Bolinder, Emil Aman
A previously healthy 21-year old man presented to the emergency department with sudden onset central chest pain exacerbated by breathing. A plain chest X-ray showed air within the mediastinum and pericardium confirmed by a CT scan with contrast. The patient history did not raise suspicion of any concomitant disease and the diagnosis of spontaneous pneumomediastinum with pneumopericardium was made. The patient recovered completely over the next few days with bed rest and analgesics. Spontaneous pneumomediastinum is an uncommon disease caused by rupture of perivascular alveoli causing air leakage to the mediastinum...
January 9, 2018: Läkartidningen
https://www.readbyqxmd.com/read/29276676/hamman-s-syndrome-spontaneous-pneumomediastinum-presenting-as-subcutaneous-emphysema-a-rare-case-of-the-emergency-department-and-review-of-the-literature
#12
Konstantinos Grapatsas, Zoi Tsilogianni, Vasileios Leivaditis, Sotirios Kotoulas, Christoforos Kotoulas, Efstratios Koletsis, Ilias Stylianos Iliadis, Manfred Dahm, Georgia Trakada, Lemonia Veletza, Anastasios Kallianos, Haidong Huang, Christoforos Kosmidis, Michael Karanikas, Vasilis Thomaidis, Konstantinos Porpodis, Paul Zarogoulidis
Pneumomediastinum is a rare clinical entity that concerns the clinicians in the emergency department. We present a case of a patient with spontaneous pneumomediastinum (Hamman's syndrome) that presented to our hospital's emergency department with cervical subcutaneous emphysema. A conservative treatment with observation was performed. The patient after 24 hours of observation was discharged with a suggested follow-up.
2018: Respiratory Medicine Case Reports
https://www.readbyqxmd.com/read/29248325/spontaneous-pneumothorax-diagnosis-may-be-a-click-away
#13
S Cabasson, M Q Do, A Giraudon, T Mansir
We report the case of a 14-year-old boy presenting to our unit because of a spontaneous left pneumothorax. Over the 3 preceding weeks, he described a rhythmic precordial click and the sensation of bubbles floating inside his chest. This noise, audible to the patient and his family without a medical device, proved to be the Hamman sign, a rare although typical sound formerly related to pneumomediastinum that can be exceptionally encountered in isolated left pneumothorax. Its pathophysiology remains unclear...
February 2018: Archives de Pédiatrie: Organe Officiel de la Sociéte Française de Pédiatrie
https://www.readbyqxmd.com/read/29218226/hamman-s-syndrome-in-diabetic-ketoacidosis
#14
Alexandra Rose Pain, Josh Pomroy, Andrea Benjamin
Hamman's syndrome (spontaneous subcutaneous emphysema and pneumomediastinum) is a rare complication of diabetic ketoacidosis (DKA), with a multifactorial etiology. Awareness of this syndrome is important: it is likely underdiagnosed as the main symptom of shortness of breath is often attributed to Kussmaul's breathing and the findings on chest radiograph can be subtle and easily missed. It is also important to be aware of and consider Boerhaave's syndrome as a differential diagnosis, a more serious condition with a 40% mortality rate when diagnosis is delayed...
2017: Endocrinology, Diabetes & Metabolism Case Reports
https://www.readbyqxmd.com/read/29217208/anisocoria-associated-with-spontaneous-pneumomediastinum
#15
Lidia López López, Alba Ramírez Bueno, Anneli Kubarsepp
No abstract text is available yet for this article.
December 4, 2017: Archivos de Bronconeumología
https://www.readbyqxmd.com/read/29201633/a-peculiar-case-of-asymptomatic-spontaneous-pneumomediastinum
#16
Trent Irwin, Mohit Rishi, Bishwas Upadhyay
Objective: To present a case of asymptomatic spontaneous pneumomediastinum and review available evidence-based workup and management. Case presentation: A young Caucasian adult male with a history of inhalational drug use was admitted to the internal medicine service for evaluation of dehydration and mild rhabdomyolysis. Patient had been on the run from the police and had spent the last days prior to presentation without food, water, or shelter. On admission, patient had no complaints, except for thirst...
2017: Respiratory Medicine Case Reports
https://www.readbyqxmd.com/read/29129168/spontaneous-pneumomediastinum
#17
Ching Soong Khoo, Siti Soraya Ab Rahman
No abstract text is available yet for this article.
November 20, 2017: Medical Journal of Australia
https://www.readbyqxmd.com/read/29124382/use-of-whole-body-ct-to-detect-patterns-of-cpr-related-injuries-after-sudden-cardiac-arrest
#18
Gregor M Dunham, Alexandre Perez-Girbes, Ferdia Bolster, Kellie Sheehan, Ken F Linnau
AIMS AND OBJECTIVES: We have recently implemented a dedicated sudden cardiac arrest (SCA) - whole-body computed tomography (WBCT) protocol to evaluate SCA patients with return of spontaneous circulation (ROSC) following cardiopulmonary resuscitation (CPR). The aim of this study is to evaluate the number and pattern of CPR-related injuries in ROSC patients with SCA-WBCT. METHODS AND MATERIALS: Single-centre retrospective review of 39 patients (13 female; 20 male, mean age 51...
November 9, 2017: European Radiology
https://www.readbyqxmd.com/read/29078663/endoscopic-treatment-with-fibrin-glue-of-post-intubation-tracheal-laceration
#19
Alfonso Fiorelli, Roberto Cascone, Davide Di Natale, Matteo Pierdiluca, Rossella Mastromarino, Giovanni Natale, Emanuele De Ruberto, Gaetana Messina, Giovanni Vicidomini, Mario Santini
Post-intubation tracheal laceration (PITL) is a rare and potential life-threatening condition requiring prompt diagnosis and treatment. A conservative treatment is indicated in patients with laceration <2 cm in length while surgery is the treatment of choice for laceration >4 cm. For laceration between 2-4 cm, the best treatment is debate; some authors recommend surgery while others do not definitely exclude endoscopic treatment. Herein, we reported the endoscopic treatment with fibrin glue of PITL. The procedure is performed using a standard video-bronchoscopy in operating room; the patient is in spontaneous breathing and deep sedation...
2017: Journal of Visualized Surgery
https://www.readbyqxmd.com/read/29054712/-spontaneous-pneumomediastinum-a-rare-complication-of-dermatomyositis
#20
A Allaoui, F Aboudib, W Bouissar, K Echchilali, M Moudatir, F Z Alaoui, H Elkabli
Dermatomyositis is a rare connective tissue disease of unknown origin, including inflammatory myopathy and cutaneous manifestations. Several pulmonary complications associated to dermatomyositis were described; especially interstitial lung disease. Some rare and particular pulmonary complications were reported in the literature such as pneumodiastinum and pneumothorax. We are describing here, a case report about a female patient, who presented with dermatomyositis associated to pneumomediastinum as a severe and lethal complication without pneumothorax...
October 2017: Revue de Pneumologie Clinique
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