Spontaneous pneumomediastinum: case report

Main Article Content

Pedrós García Sergio
Yakasova Elena
Roquet-Jalmar Saus María
Gutiérrez González Nuria
Mercedes Noboa Edwin

Abstract

Pneumomediastinum is the presence of free air within the mediastinum. As a general rule, it occurs in the presence of underlying lung disease and if it does not exist, it is called spontaneous pneumomediastinum. We present a case of a 53 years old asthmatic patient which further investigation revealed to be consistent with spontaneous pneumomediastinum. He underwent medical treatment with relative rest, oxygen therapy, and prophylactic antibiotic therapy, in addition to his usual asthma treatment. There was a clinical and radiological improvement with complete passive reabsorption of air and the patient was discharged on the 4th day and referred to the pulmonology department for consultation. During 2 months follow-up period, there were no signs of recurrence.

Article Details

Sergio, P. G., Elena, Y., Saus María, R.-J., Nuria, G. G., & Noboa Edwin, M. (2022). Spontaneous pneumomediastinum: case report. Journal of Pulmonology and Respiratory Research, 6(1), 001–003. https://doi.org/10.29328/journal.jprr.1001034
Case Reports

Copyright (c) 2022 Sergio PG, et al.

Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.

Ojha S, Gaskin J. Spontaneous pneumomediastinum. Bristol, UK. BMJ Case Rep. 2018.

Semedo FHMA, Silva RS, Pereira S, Alfaiate T, Costa T, et al. Spontaneous pneumomediastinum: case report. Rev Assoc Med Bras. 2012; 58: 355-357. PubMed: https://pubmed.ncbi.nlm.nih.gov/22735229/

Alemu B, Yeheyis ET, Tiruneh AG. Spontaneous primary pneumomediastinum: is it always benign? J Med Case Rep. 2021; 15: 157. PubMed: https://pubmed.ncbi.nlm.nih.gov/33761988/

Ryoo JY. Clinical analysis of spontaneous pneumomediastinum. Tuberc Respir Dis. 2012; 73: 169-173. PubMed: https://pubmed.ncbi.nlm.nih.gov/23166550/

Takada K, Matsumoto S, Hiramatsu T, Kojima K, Shizu M, et al. Spontaneous pneumomediastinum: an algorithm for diagnosis and management. Ther Adv Respir Dis. 2009; 3: 301-307. PubMed: https://pubmed.ncbi.nlm.nih.gov/19934282/

Song Y, Lingfang Tu, Jianyong Wu. Pneumorrhachis with spontaneous pneumomediastinum and subcutaneous emphysema. Intern Med. 2009; 48: 1713-1714.

Romero Kleber J, Trujillo Máximo H. Spontaneous pneumomediastinum and subcutaneous emphysema in asthma exacerbation: The Macklin effect. Heart Lung. 2010; 39: 444-447.

Campillo A, Coll-Salinas A, Soria-Aledo V, Blanco-Barrio A, Flores-Pastor B, et al. Spontaneous Pneumomediastinum: Descriptive Study of Our Experience With 36 Cases. Arch Bronconeumol. 2005; 41: 528-531. PubMed: https://pubmed.ncbi.nlm.nih.gov/16194517/

Lopes F. Pneumomediastino espontâneo após esforço vocal: relato de caso. Radiol Bras. 2010; 43: 137-139.

Rodríguez M. Neumomediastino espontáneo tras esfuerzos tusígenos. Revista portuguesa de otorrinolaringologia e cirurgia cérvico-facial. 2014; 52: 183-186.