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pneumomediastinum

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https://www.readbyqxmd.com/read/27931007/a-case-report-of-unusual-pneumomediastinum-after-endoscopic-sinus-surgery
#1
Ahmad I Alomari, Firas Q Alzoubi, Abdullah Khatatbeh
INTRODUCTION: Endoscopic sinus surgery is a minimally invasive procedure used to restore normal sinus ventilation and mucociliary function. It is a routine otolaryngology procedure with a success rate of about 90% for symptomatic improvement in patients with refractory chronic rhinosinusitis. Because of the proximity of the paranasal sinuses to the brain and the orbit, it cannot be performed without a potential risk of complications. In our case, without early clinical suspicion, proper diagnosis and management, this unusual occurrence of pneumomediastinum after endoscopic sinus surgery may have led to major complications or even death...
November 19, 2016: International Journal of Surgery Case Reports
https://www.readbyqxmd.com/read/27913383/traumatic-haemopneumothorax-and-whole-body-subcutaneous-emphysema-successful-use-of-a-small-bore-chest-drain
#2
Benjamin Hardy, Nicholas Sunderland, Mevan Perera, Kathryn Channing
A 56-year-old man presented having had two falls at home. He had a background of multiple sclerosis. After his second fall, during which he had fallen onto the toilet injuring his right chest, he was brought into the emergency department reporting pleuritic chest discomfort. Immediately evident was extensive swelling from his forehead to his thighs, which on palpation was found to be subcutaneous emphysema. A chest X-ray showed a large right-sided pneumothorax for which a chest drain was inserted. A CT revealed extensive surgical emphysema, pneumomediastinum, pneumoperitoneum and gas within the spinal canal...
December 2, 2016: BMJ Case Reports
https://www.readbyqxmd.com/read/27876330/pneumomediastinum-pneumothorax-and-subcutaneous-emphysema-caused-by-colonoscopic-perforation-a-report-of-two-cases
#3
Pyong Wha Choi
BACKGROUND: Although colonoscopy is generally a safe procedure, lethal complications can occur. Colonoscopic perforation is one of the most serious complications, and it can present with various clinical symptoms and signs. Aggravating abdominal pain and free air on simple radiography are representative clinical manifestations of colonoscopic perforation. However, unusual symptoms and signs, such as dyspnea and subcutaneous emphysema, which are less likely to be related with complicating colonoscopy, may obscure correct clinical diagnosis...
November 19, 2016: Journal of Emergency Medicine
https://www.readbyqxmd.com/read/27864636/do-early-postoperative-ct-findings-following-type-a-aortic-dissection-repair-predict-early-clinical-outcome
#4
Linda C Chu, Joel Price, Allen Young, Duke E Cameron, Elliot K Fishman
PURPOSE: The purposes of this study are to determine the prevalence of specific postoperative CT findings following Stanford type A aortic dissection repair in the early postoperative period and to determine if these postoperative findings are predictive of adverse clinical outcome. METHODS: Patients who underwent type A dissection repair between January 2012 and December 2014 were identified from our institutional cardiac surgery database. Postoperative CT exams within 1 month of surgery were retrospectively reviewed to determine sizes and attenuation of mediastinal, pericardial, and pleural fluid, and the presence or absence of pneumomediastinum, pneumothorax, or lung consolidation...
November 18, 2016: Emergency Radiology
https://www.readbyqxmd.com/read/27851563/1929-tension-pneumomediastinum-a-rare-complication-of-tracheomalacia
#5
Shahzad Hassan, Ayesha Anwar, Elliott Bondi
No abstract text is available yet for this article.
December 2016: Critical Care Medicine
https://www.readbyqxmd.com/read/27851560/1925-pneumomediastinum-following-hyperbaric-oxygen-therapy
#6
Samuel Mon-Wei Yu, Perminder Gulani
No abstract text is available yet for this article.
December 2016: Critical Care Medicine
https://www.readbyqxmd.com/read/27851558/1923-secondary-pneumomediastinum-due-to-spontaneous-gastric-perforation
#7
Siddique Chaudhary, Ahsan Wahab, Shiny Varghese, Abhijeet Ghatol, Susan Smith
No abstract text is available yet for this article.
December 2016: Critical Care Medicine
https://www.readbyqxmd.com/read/27831814/pneumomediastinum-and-extensive-subcutaneous-emphysema-after-cryoprobe-transbronchial-lung-biopsy
#8
Karan Madan, Swapnil Mehta, Nishkarsh Gupta, Vijay Hadda, Anant Mohan, Randeep Guleria
No abstract text is available yet for this article.
November 2016: Annals of the American Thoracic Society
https://www.readbyqxmd.com/read/27824001/pneumomediastinum-secondary-to-foreign-body-aspiration-clinical-features-and-treatment-explorement-in-39-pediatric-patients
#9
Xiao-Jian Yang, Jie Zhang, Ping Chu, Yong-Li Guo, Jun Tai, Ya-Mei Zhang, Li-Xing Tang, Xin Ni
BACKGROUND: Pneumomediastinum (PM) secondary to foreign body aspiration (FBA) is rare in children. Although it is mainly benign, some cases may be fatal. Due to the rare nature of this clinical entity, proper assessment and management have been poorly studied so far. Here, we characterized the presentation and management of this clinical entity and provided an evaluation system for the management. METHODS: We retrospectively reviewed children with PM secondary to FBA, who were treated in Beijing Children's Hospital from January 2010 to December 2015...
2016: Chinese Medical Journal
https://www.readbyqxmd.com/read/27818032/laryngeal-injury-and-pneumomediastinum-due-to-minor-blunt-neck-trauma-case-report
#10
Yasutaka Kuniyoshi, Azusa Kamura, Sumie Yasuda, Makoto Tashiro, Yoichiro Toriyabe
BACKGROUND: Serious isolated laryngeal injuries are uncommon in children. CASE REPORT: We describe the case of an 8-year-old boy with laryngeal injury and pneumomediastinum due to minor blunt neck trauma. He presented to the emergency department complaining of odynophagia and hoarseness, but without respiratory distress. Emphysema was seen between the trachea and vertebral body on initial cervical spine x-ray study, and flexible laryngoscopy revealed erythema and mild edema of both the right vocal cord and the arytenoid region...
November 3, 2016: Journal of Emergency Medicine
https://www.readbyqxmd.com/read/27793871/pulmonary-air-leak-syndrome-associated-with-traumatic-nasopharyngeal-suctioning
#11
Maria Chitty Lopez, Elza Pollak-Christian, Michael Keenaghan
We describe a healthy 7-month-old female infant who developed spontaneous pneumomediastinum (PM) and subcutaneous emphysema after traumatic nasopharyngeal suctioning (NPS) while hospitalised for respiratory syncytial virus bronchiolitis. To the best of our knowledge, this is the first reported case of pulmonary air leak syndrome associated with traumatic NPS in a healthy infant affected by bronchiolitis. Although NPS is currently the mainstay of treatment in patients admitted with bronchiolitis in the USA, currently there are minimal data regarding the safety and effectiveness of the procedure in patients with bronchiolitis...
October 28, 2016: BMJ Case Reports
https://www.readbyqxmd.com/read/27759752/pneumomediastinum-as-a-complication-of-mdma-3-4-methylenedioxymetamfetamine-ecstasy-ingestion
#12
Suleiman Ezoubi, Hassan Kahal, William Stephen Waring
MDMA (3,4-methylenedioxymethamfetamine, Ecstasy) is a widely used recreational drug. We present a case of pneumomediastinum as a complication of MDMA use in a 21-year-old man with no previous history of lung or gastrointestinal pathology. We have performed a literature review, and summarised the symptoms, signs, and prognosis for this under-recognised complication of a commonly used recreational drug. We recommend enquiring about illicit drug use in any patient presenting with spontaneous pneumomediastinum.
2016: Acute Medicine
https://www.readbyqxmd.com/read/27748464/spontaneous-pneumomediastinum-following-pneumonia-in-a-23-year-old-male-patient
#13
Yusuf Kayar, Nüket Bayram Kayar, Tuncay Şahutoğlu, Venkatanarayana Gangarapu
Spontaneous pneumomediastinum (SPM) is defined as the presence of interstitial air in the mediastinum without any apparent precipitating factor. We present a case of 23 year old male patient, who has been referred to our outpatient clinic with the complaints of sudden chest pain, dyspnea followed by pneumonia and was diagnosed as SPM. The patient was treated with ampicillin sulbactam (4 gr/day) and methylprednisolon (20 mg/day) for 4 days. and oral intake was stopped during treatment. Post treatment, it was observed that the crepitations were disappeared thoroughly and vesicular sounds were heard by oscultation...
October 14, 2016: Monaldi Archives for Chest Disease, Archivio Monaldi Per le Malattie del Torace
https://www.readbyqxmd.com/read/27731512/retroperitoneal-laparoscopy-in-dogs-access-technique-working-space-and-surgical-anatomy
#14
Junemoe Jeong, Jonghyeok Ko, Hyunjoo Lim, Oh-Kyeong Kweon, Wan Hee Kim
OBJECTIVE: To develop and describe a laparoscopic retroperitoneal access technique, investigate working space establishment, and describe the surgical anatomy in the retroperitoneal space as an initial step for clinical application of retroperitoneal laparoscopy in dogs. STUDY DESIGN: Cadaveric and experimental study. ANIMALS: Cadaveric (n=8) and healthy (n=6) adult dogs. METHODS: The retroperitoneal access technique was developed in 3 cadavers based on the human technique and transperitoneal observation...
November 2016: Veterinary Surgery: VS
https://www.readbyqxmd.com/read/27728629/spontaneous-pneumomediastinum
#15
Anoop Dhanak, Sudhir Mehta
No abstract text is available yet for this article.
January 2016: Journal of the Association of Physicians of India
https://www.readbyqxmd.com/read/27723958/recurrent-spontaneous-pneumomediastinum-in-a-child-with-tracheomalacia
#16
Jonas Dewulf, Sabine Van Daele, Frans De Baets
Spontaneous pneumomediastinum in children is a very rare, benign entity. Recurrent episodes are exceptional. Identifying an underlying trigger is crucial, and very often, spontaneous pneumomediastinum occurs in association with an asthma exacerbation. We report the case of a patient in which we hypothesize that an underlying tracheomalacia can be held responsible for the recurrent pneumomediastinum, which is to this date the first case with this assumption. Pediatr Pulmonol. 2016; 9999:XX-XX. © 2016 Wiley Periodicals, Inc...
October 10, 2016: Pediatric Pulmonology
https://www.readbyqxmd.com/read/27704195/tracheocutaneous-fistula-closure-comparison-of-rhomboid-flap-repair-with-z-plasty-repair-in-a-case-series-of-40-patients
#17
Sharad Hernot, Raman Wadhera, Madhuri Kaintura, Sandeep Bhukar, Dheeraj Shashikumar Pillai, Usha Sehrawat, Jitu Sam George
INTRODUCTION: Tracheocutaneous fistula (TCF) is one of the recognized sequelae of a long-term tracheostomy resulting from mucocutaneous overgrowth which prevents closure of the artificial lumen at the site of tracheostomy. Primary closure of TCF has disappointing results and may lead to complications like pneumothorax, pneumomediastinum, cervicofacial subcutaneous emphysema, and depressed scar. OBJECTIVE: To compare TCF repair using fistulectomy followed by rhomboid flap versus fistulectomy followed by Z plasty repair...
December 2016: Aesthetic Plastic Surgery
https://www.readbyqxmd.com/read/27693067/esophageal-rupture-after-ghost-pepper-ingestion
#18
Ann Arens, Leila Ben-Youssef, Sandra Hayashi, Craig Smollin
BACKGROUND: The ghost pepper, or "bhut jolokia," is one of the hottest chili peppers in the world. Ghost peppers have a measured "heat" of > 1,000,000 Scoville heat units (SHU), more than twice the strength of a habanero pepper. To our knowledge, no significant adverse effects of ghost pepper ingestion have been reported. CASE REPORT: A 47-year-old man presented to the Emergency Department (ED) with severe abdominal and chest pain subsequent to violent retching and vomiting after eating ghost peppers as part of a contest...
December 2016: Journal of Emergency Medicine
https://www.readbyqxmd.com/read/27686235/prognostic-factors-for-severe-pneumocystis-jiroveci-pneumonia-of-non-hiv-patients-in-intensive-care-unit-a-bicentric-retrospective-study
#19
Li Weng, Xu Huang, Lie Chen, Li-Qin Feng, Wei Jiang, Xiao-Yun Hu, Jin-Min Peng, Chun-Yao Wang, Qing-Yuan Zhan, Bin Du
BACKGROUND: Pneumocystis jiroveci pneumonia (PJP) in non-HIV patients is still a challenge for intensivists. The aim of our study was to evaluate mortality predictors of PJP patients requiring Intensive care unit (ICU) admission. METHODS: Retrospectively review medical records of patients with diagnosis of PJP admitted to four ICUs of two academic medical centers from October 2012 to October 2015. RESULTS: Eighty-two patients were enrolled in the study...
September 29, 2016: BMC Infectious Diseases
https://www.readbyqxmd.com/read/27634033/pneumomediastinum-and-st-segment-elevation
#20
Georges A Lolay, Andrew Burchett, Khaled M Ziada
Although acute myocardial infarction is the most clinically significant cause of ST-segment elevation, other serious clinical conditions have been reported with this electrocardiographic abnormality. We report a patient with pneumomediastinum who presented with dyspnea and electrocardiographic changes mimicking ST-segment elevation myocardial infarction. Coronary angiography demonstrated no evidence of myocardial injury and the electrocardiographic abnormality promptly resolved with the resolution of the pneumomediastinum...
November 15, 2016: American Journal of Cardiology
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