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Jornal Brasileiro de Pneumologia :... Jul 2019
Topics: Adult; Barotrauma; Cocaine-Related Disorders; Humans; Male; Mediastinal Emphysema; Radiography, Thoracic; Tomography, X-Ray Computed
PubMed: 31365685
DOI: 10.1590/1806-3713/e20190169 -
Ugeskrift For Laeger Jan 2016Spontaneous mediastinal emphysema, also known as spontaneous pneumomediastinum, is defined as radiologically detected free air in the mediastinum, without preceding... (Review)
Review
Spontaneous mediastinal emphysema, also known as spontaneous pneumomediastinum, is defined as radiologically detected free air in the mediastinum, without preceding trauma. It is a rare condition, mainly affecting young adults. It can be caused by coughing, strenuous sports or cocaine inhalation, however, 40% are idiopatic. Common symptoms are chest pain and dyspnoea. 75-90% can be diagnosed with a chest X-ray, and 100% with a computed tomography. Treatment is symptomatic and complications are rare, however, pneumothorax and pneumorrachis have been reported.
Topics: Humans; Mediastinal Emphysema; Radiography; Tomography, X-Ray Computed; Young Adult
PubMed: 26750190
DOI: No ID Found -
Diagnostic and Interventional Imaging Sep 2022
Topics: Humans; Mediastinal Emphysema; Neck; Subcutaneous Emphysema; Tooth Extraction
PubMed: 35760727
DOI: 10.1016/j.diii.2022.06.005 -
Deutsches Arzteblatt International Feb 2022
Topics: Humans; Mediastinal Emphysema; Skin; Subcutaneous Emphysema
PubMed: 35438627
DOI: 10.3238/arztebl.m2022.0016 -
Acta Medica (Hradec Kralove) 202074 year-old-man, former smoker, with chronic obstructive pulmonary disease GOLD grade 4, group D, with emphysema component, treated in a pulmonary rehabilitation...
74 year-old-man, former smoker, with chronic obstructive pulmonary disease GOLD grade 4, group D, with emphysema component, treated in a pulmonary rehabilitation program, on oxygen therapy and nocturnal bi-level positive airway pressure (BiPAP) ventilation. During the night he had a traumatic rib fracture (5-11th right ribs) but still he used BiPAP ventilation during the sleep. In the morning after he presented with a diffuse and massive emphysema in the face, thorax and abdominal regions. On physical examination, the patient presented with massive swelling and crepitus on palpation. A chest computed tomography (CT) scan confirmed a diffuse subcutaneous emphysema and revealed a mediastinal emphysema and bilateral small pneumothorax. A fast resolution of the emphysema was of paramount importance as the patient was severely agitated due to his inability to open both eyes, and the need to reintroduce BiPAP ventilation as soon as possible. It was placed a fenestrated subcutaneous catheter on left hemithorax and a subcutaneous ostomy on right hemithorax for comparative purpose. It was also performed a confluent centripetal massage towards drainage orifices, with immediate and substantial improvement of emphysema, especially in left hemithorax, and progressive ocular opening. Further emphysema absorption occurred during hospitalization.
Topics: Aged; Continuous Positive Airway Pressure; Humans; Male; Mediastinal Emphysema; Oxygen Inhalation Therapy; Pulmonary Disease, Chronic Obstructive; Rib Fractures; Subcutaneous Emphysema; Tomography, X-Ray Computed
PubMed: 33355081
DOI: 10.14712/18059694.2020.63 -
Clinical Medicine (London, England) Jul 2020A case is presented highlighting the emerging association of COVID-19 with pneumomediastinum, even in patients who have never received mechanical ventilation or positive...
A case is presented highlighting the emerging association of COVID-19 with pneumomediastinum, even in patients who have never received mechanical ventilation or positive airway pressure.
Topics: Betacoronavirus; COVID-19; Computed Tomography Angiography; Coronavirus Infections; Humans; Male; Mediastinal Emphysema; Middle Aged; Pandemics; Pneumonia, Viral; SARS-CoV-2
PubMed: 32628129
DOI: 10.7861/clinmed.2020-0247 -
Pulmonology 2020
Topics: Barotrauma; Cannula; Diving; Humans; Incidence; Male; Mediastinal Emphysema; Mediastinum; Oxygen Inhalation Therapy; Pressure; Radiography, Thoracic; Subcutaneous Emphysema; Treatment Outcome; Young Adult
PubMed: 31735688
DOI: 10.1016/j.pulmoe.2019.09.010 -
Jornal Brasileiro de Pneumologia :... 2018
Topics: Adult; Cough; Humans; Male; Mediastinal Emphysema; Neck; Subcutaneous Emphysema; Syndrome
PubMed: 30517342
DOI: 10.1590/S1806-37562018000000180 -
Tidsskrift For Den Norske Laegeforening... Jun 2018
Topics: Adult; Chest Pain; Humans; Male; Mediastinal Emphysema; Radiography, Thoracic; Tomography, X-Ray Computed; Young Adult
PubMed: 29947201
DOI: 10.4045/tidsskr.18.0132 -
Singapore Medical Journal Jun 2007A 21-year-old primigravida with previous history of pulmonary tuberculosis had a normal but assisted vaginal delivery after a prolonged second stage. Within 12 hours,...
A 21-year-old primigravida with previous history of pulmonary tuberculosis had a normal but assisted vaginal delivery after a prolonged second stage. Within 12 hours, she complained of dyspnoea and was found to have abnormal neck and anterior chest wall swelling. A diagnosis of subcutaneous emphysema was made and this was confirmed with the chest radiograph, which also revealed pneumomediastinum. She recovered well within four days with conservative treatment.
Topics: Adult; Dyspnea; Female; Humans; Labor Stage, Second; Mediastinal Emphysema; Obstetric Labor Complications; Postpartum Period; Pregnancy; Radiography; Subcutaneous Emphysema
PubMed: 17538741
DOI: No ID Found