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Spontaneous Pneumomediastinum from Running Sprints

Spontaneous pneumomediastinum (SPM) is a fairly rare condition, caused by increased intrathoracic pressure, leading to free air in the mediastinal structures. Underlying lung conditions are associated with increased incidence of SPM, including asthma, interstitial lung disease, pneumonia, bullous lu...

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Detalles Bibliográficos
Autor principal: Turban, Joseph W.
Formato: Texto
Lenguaje:English
Publicado: Hindawi Publishing Corporation 2010
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2939501/
https://www.ncbi.nlm.nih.gov/pubmed/20862351
http://dx.doi.org/10.1155/2010/927467
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author Turban, Joseph W.
author_facet Turban, Joseph W.
author_sort Turban, Joseph W.
collection PubMed
description Spontaneous pneumomediastinum (SPM) is a fairly rare condition, caused by increased intrathoracic pressure, leading to free air in the mediastinal structures. Underlying lung conditions are associated with increased incidence of SPM, including asthma, interstitial lung disease, pneumonia, bullous lung, and radiation therapy for lung cancer. It is often preceded by Valsalva maneuvers, vomiting, coughing, asthma exacerbation, sneezing, childbirth, or intense physical activity. A case of SPM is presented in a 15-year-old male, who complained of throat pain and dyspnea while running sprints at football practice. Workup revealed SPM, and he was subsequently admitted and treated conservatively. His symptoms resolved in 2 days and he was discharged and suffered no further recurrences. In contrast to secondary pneumomediastinum, SPM is usually a benign condition although life-threatening conditions can rarely arise. Differentiating between these two conditions has important prognostic indications. There is a paucity of prospectively collected data regarding SPM, and considerable variation in recommendations concerning the extent of workup.
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spelling pubmed-29395012010-09-22 Spontaneous Pneumomediastinum from Running Sprints Turban, Joseph W. Case Rep Med Case Report Spontaneous pneumomediastinum (SPM) is a fairly rare condition, caused by increased intrathoracic pressure, leading to free air in the mediastinal structures. Underlying lung conditions are associated with increased incidence of SPM, including asthma, interstitial lung disease, pneumonia, bullous lung, and radiation therapy for lung cancer. It is often preceded by Valsalva maneuvers, vomiting, coughing, asthma exacerbation, sneezing, childbirth, or intense physical activity. A case of SPM is presented in a 15-year-old male, who complained of throat pain and dyspnea while running sprints at football practice. Workup revealed SPM, and he was subsequently admitted and treated conservatively. His symptoms resolved in 2 days and he was discharged and suffered no further recurrences. In contrast to secondary pneumomediastinum, SPM is usually a benign condition although life-threatening conditions can rarely arise. Differentiating between these two conditions has important prognostic indications. There is a paucity of prospectively collected data regarding SPM, and considerable variation in recommendations concerning the extent of workup. Hindawi Publishing Corporation 2010 2010-09-02 /pmc/articles/PMC2939501/ /pubmed/20862351 http://dx.doi.org/10.1155/2010/927467 Text en Copyright © 2010 Joseph W. Turban. https://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Turban, Joseph W.
Spontaneous Pneumomediastinum from Running Sprints
title Spontaneous Pneumomediastinum from Running Sprints
title_full Spontaneous Pneumomediastinum from Running Sprints
title_fullStr Spontaneous Pneumomediastinum from Running Sprints
title_full_unstemmed Spontaneous Pneumomediastinum from Running Sprints
title_short Spontaneous Pneumomediastinum from Running Sprints
title_sort spontaneous pneumomediastinum from running sprints
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2939501/
https://www.ncbi.nlm.nih.gov/pubmed/20862351
http://dx.doi.org/10.1155/2010/927467
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