Pneumomediastinum Complicating Diabetic Ketoacidosis and Boerhaave's Syndrome

An 18-year-old man presented with altered mental status. He was found to have diabetic ketoacidosis. Chest X-ray showed pneumomediastinum. After intubation for air-way protection, an oral-gastric tube was placed. A chest computed tomography scan showed the tip of the oral-gastric tube to be in the r...

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Detalles Bibliográficos
Autores principales: Alkhuja, Samer, Gazizov, Natalya, Charles, Gervais
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi Publishing Corporation 2013
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3856144/
https://www.ncbi.nlm.nih.gov/pubmed/24348573
http://dx.doi.org/10.1155/2013/598720
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author Alkhuja, Samer
Gazizov, Natalya
Charles, Gervais
author_facet Alkhuja, Samer
Gazizov, Natalya
Charles, Gervais
author_sort Alkhuja, Samer
collection PubMed
description An 18-year-old man presented with altered mental status. He was found to have diabetic ketoacidosis. Chest X-ray showed pneumomediastinum. After intubation for air-way protection, an oral-gastric tube was placed. A chest computed tomography scan showed the tip of the oral-gastric tube to be in the right hemithorax. The patient underwent a thoracotomy and was managed in the intensive care unit. Both diabetic ketoacidosis and Boerhaave's syndrome should be considered as possible causes of pneumomediastinum in a patient with similar presentation. Boerhaave's syndrome should be ruled out prior to the insertion of an oral-gastric tube to avoid further morbidities.
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spelling pubmed-38561442013-12-17 Pneumomediastinum Complicating Diabetic Ketoacidosis and Boerhaave's Syndrome Alkhuja, Samer Gazizov, Natalya Charles, Gervais Case Rep Med Case Report An 18-year-old man presented with altered mental status. He was found to have diabetic ketoacidosis. Chest X-ray showed pneumomediastinum. After intubation for air-way protection, an oral-gastric tube was placed. A chest computed tomography scan showed the tip of the oral-gastric tube to be in the right hemithorax. The patient underwent a thoracotomy and was managed in the intensive care unit. Both diabetic ketoacidosis and Boerhaave's syndrome should be considered as possible causes of pneumomediastinum in a patient with similar presentation. Boerhaave's syndrome should be ruled out prior to the insertion of an oral-gastric tube to avoid further morbidities. Hindawi Publishing Corporation 2013 2013-11-13 /pmc/articles/PMC3856144/ /pubmed/24348573 http://dx.doi.org/10.1155/2013/598720 Text en Copyright © 2013 Samer Alkhuja et al. 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
Alkhuja, Samer
Gazizov, Natalya
Charles, Gervais
Pneumomediastinum Complicating Diabetic Ketoacidosis and Boerhaave's Syndrome
title Pneumomediastinum Complicating Diabetic Ketoacidosis and Boerhaave's Syndrome
title_full Pneumomediastinum Complicating Diabetic Ketoacidosis and Boerhaave's Syndrome
title_fullStr Pneumomediastinum Complicating Diabetic Ketoacidosis and Boerhaave's Syndrome
title_full_unstemmed Pneumomediastinum Complicating Diabetic Ketoacidosis and Boerhaave's Syndrome
title_short Pneumomediastinum Complicating Diabetic Ketoacidosis and Boerhaave's Syndrome
title_sort pneumomediastinum complicating diabetic ketoacidosis and boerhaave's syndrome
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3856144/
https://www.ncbi.nlm.nih.gov/pubmed/24348573
http://dx.doi.org/10.1155/2013/598720
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AT charlesgervais pneumomediastinumcomplicatingdiabeticketoacidosisandboerhaavessyndrome

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