Spontaneous pneumomediastinum. case report
Case reports (Universidad Nacional de Colombia. En línea)
;
3(2): 91-97, July-Dec. 2017. tab, graf
Article
in English
| LILACS, COLNAL
| ID: biblio-989556
ABSTRACT
ABSTRACT Introduction:
Spontaneous pneumomediastinum (SPM) is defined as the presence of air in the mediastinum. It is a rare entity considered benign and self-limiting, which mostly affects young adults. Its diagnosis is confirmed through clinical and radiological studies. Case description 21-year-old male patient with cough and greenish expectoration for four days, associated with dyspnea, chest pain, fever and bilateral supraclavicular subcutaneous emphysema. Chest X-ray suggested pneumomediastinum, which was confirmed by tomography. The patient was hospitalized for observation and treatment. After a positive evolution, he was discharged on the sixth day.Discussion:
SPM is a differential diagnosis in patients with chest pain and dyspnea. Its prevalence is lower than 0.01% and its mortality rate is low. It should be suspected in patients with chest pain and subcutaneous emphysema on physical examination. Between 70 and 90% of the cases can be identified by chest X-ray, while confirmation can be obtained through chest tomography. In most cases it does not require additional studies.Conclusion:
SPM is a little known cause of acute chest pain, and rarely considered as a differential diagnosis; it is self-limited and has a good prognosis.
Full text:
Available
Index:
LILACS (Americas)
Main subject:
Emphysema
Type of study:
Prognostic study
/
Risk factors
Limits:
Humans
Language:
English
Journal:
Case reports (Universidad Nacional de Colombia. En línea)
Journal subject:
Cincias da Sa£de
/
Medicina
/
Relatos de Casos
Year:
2017
Type:
Article
Affiliation country:
Colombia
Institution/Affiliation country:
Pontificia Universidad Javeriana/CO
/
Universidad Nacional de Colombia/CO
Similar
MEDLINE
...
LILACS
LIS