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Deutsches Arzteblatt International Feb 2022
Topics: Humans; Mediastinal Emphysema; Skin; Subcutaneous Emphysema
PubMed: 35438627
DOI: 10.3238/arztebl.m2022.0016 -
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 -
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 -
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 -
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 -
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 -
Jornal Brasileiro de Pneumologia :... 2018
Topics: Adult; Cough; Humans; Male; Mediastinal Emphysema; Neck; Subcutaneous Emphysema; Syndrome
PubMed: 30517342
DOI: 10.1590/S1806-37562018000000180 -
Lakartidningen Jan 2018A previously healthy 21-year old man presented to the emergency department with sudden onset central chest pain exacerbated by breathing. A plain chest X-ray showed air...
A previously healthy 21-year old man presented to the emergency department with sudden onset central chest pain exacerbated by breathing. A plain chest X-ray showed air within the mediastinum and pericardium confirmed by a CT scan with contrast. The patient history did not raise suspicion of any concomitant disease and the diagnosis of spontaneous pneumomediastinum with pneumopericardium was made. The patient recovered completely over the next few days with bed rest and analgesics. Spontaneous pneumomediastinum is an uncommon disease caused by rupture of perivascular alveoli causing air leakage to the mediastinum. The condition is benign and self-resolving in most cases. Pneumopericardium, a rare complication to spontaneous pneumomediastinum, is also usually self-resolving but may cause cardiac tamponade requiring intervention. Spontaneous pneumomediastinum must be differentiated from secondary pneumomediastinum caused by an underlying condition, such as esofageal rupture, trauma or infection, which may require specific treatment.
Topics: Acute Pain; Algorithms; Chest Pain; Humans; Male; Mediastinal Emphysema; Pneumopericardium; Radiography; Tomography, X-Ray Computed; Young Adult
PubMed: 29319833
DOI: No ID Found