Spontaneous pneumomediastinum. case report
Case reports (Universidad Nacional de Colombia. En línea)
;
3(2): 91-97, July-Dec. 2017. tab, graf
Artigo
em Inglês
| 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.
Texto completo:
DisponíveL
Índice:
LILACS (Américas)
Assunto principal:
Enfisema
Tipo de estudo:
Estudo prognóstico
/
Fatores de risco
Limite:
Humanos
Idioma:
Inglês
Revista:
Case reports (Universidad Nacional de Colombia. En línea)
Assunto da revista:
Cincias da Sa£de
/
Medicina
/
Relatos de Casos
Ano de publicação:
2017
Tipo de documento:
Artigo
País de afiliação:
Colômbia
Instituição/País de afiliação:
Pontificia Universidad Javeriana/CO
/
Universidad Nacional de Colombia/CO
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