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Dyspnoea and chest pain as the presenting symptoms of pneumomediastinum: two cases and a review of the literature
Pneumomediastinum is the presence of air in the mediastinum. It may occur as spontaneous, traumatic, or iatrogenic pneumomediastinum. Although spontaneous pneumomediastinum is usually observed in healthy young men, traumatic pneumomediastinum may be caused by blunt or penetrating trauma to the chest...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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Clinics Cardive Publishing
2015
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4780017/ https://www.ncbi.nlm.nih.gov/pubmed/26498134 http://dx.doi.org/10.5830/CVJA-2015-035 |
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author | Kara, Hasan Uyar, Hasan Gazi Selim, Degirmenci Aysegul, Bayir Ak, Ahmet Oncel, Murat |
author_facet | Kara, Hasan Uyar, Hasan Gazi Selim, Degirmenci Aysegul, Bayir Ak, Ahmet Oncel, Murat |
author_sort | Kara, Hasan |
collection | PubMed |
description | Pneumomediastinum is the presence of air in the mediastinum. It may occur as spontaneous, traumatic, or iatrogenic pneumomediastinum. Although spontaneous pneumomediastinum is usually observed in healthy young men, traumatic pneumomediastinum may be caused by blunt or penetrating trauma to the chest and neck. Pneumomediastinum is a clinical condition with potential complications that cause high morbidity and mortality rates. Pneumomediastinum also may develop without tracheal or oesophageal injury after spontaneous or blunt chest, neck and facial injuries, and it may be accompanied by pneumothorax. We treated two patients who had pneumomediastinum. Case 1 was a 20-year-old man who had pain and dyspnoea around the sternum for one hour, as a result of a blow from an elbow during a football match. Case 2 was a 23-year-old man who had a two-day history of dyspnoea and chest pain with no history of trauma. In both patients, diagnosis of pneumomediastinum was confirmed with thoracic computed tomography scans, and the condition resolved within five days of in-patient observation. In conclusion, the diagnosis of pneumomediastinum should be considered for all patients who present to the emergency department with chest pain and dyspnoea. |
format | Online Article Text |
id | pubmed-4780017 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2015 |
publisher | Clinics Cardive Publishing |
record_format | MEDLINE/PubMed |
spelling | pubmed-47800172016-03-21 Dyspnoea and chest pain as the presenting symptoms of pneumomediastinum: two cases and a review of the literature Kara, Hasan Uyar, Hasan Gazi Selim, Degirmenci Aysegul, Bayir Ak, Ahmet Oncel, Murat Cardiovasc J Afr Case Report Pneumomediastinum is the presence of air in the mediastinum. It may occur as spontaneous, traumatic, or iatrogenic pneumomediastinum. Although spontaneous pneumomediastinum is usually observed in healthy young men, traumatic pneumomediastinum may be caused by blunt or penetrating trauma to the chest and neck. Pneumomediastinum is a clinical condition with potential complications that cause high morbidity and mortality rates. Pneumomediastinum also may develop without tracheal or oesophageal injury after spontaneous or blunt chest, neck and facial injuries, and it may be accompanied by pneumothorax. We treated two patients who had pneumomediastinum. Case 1 was a 20-year-old man who had pain and dyspnoea around the sternum for one hour, as a result of a blow from an elbow during a football match. Case 2 was a 23-year-old man who had a two-day history of dyspnoea and chest pain with no history of trauma. In both patients, diagnosis of pneumomediastinum was confirmed with thoracic computed tomography scans, and the condition resolved within five days of in-patient observation. In conclusion, the diagnosis of pneumomediastinum should be considered for all patients who present to the emergency department with chest pain and dyspnoea. Clinics Cardive Publishing 2015 /pmc/articles/PMC4780017/ /pubmed/26498134 http://dx.doi.org/10.5830/CVJA-2015-035 Text en Copyright © 2015 Clinics Cardive Publishing http://creativecommons.org/licenses/by/2.5/ This is an open-access article distributed under the terms of 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 Kara, Hasan Uyar, Hasan Gazi Selim, Degirmenci Aysegul, Bayir Ak, Ahmet Oncel, Murat Dyspnoea and chest pain as the presenting symptoms of pneumomediastinum: two cases and a review of the literature |
title | Dyspnoea and chest pain as the presenting symptoms of pneumomediastinum: two cases and a review of the literature |
title_full | Dyspnoea and chest pain as the presenting symptoms of pneumomediastinum: two cases and a review of the literature |
title_fullStr | Dyspnoea and chest pain as the presenting symptoms of pneumomediastinum: two cases and a review of the literature |
title_full_unstemmed | Dyspnoea and chest pain as the presenting symptoms of pneumomediastinum: two cases and a review of the literature |
title_short | Dyspnoea and chest pain as the presenting symptoms of pneumomediastinum: two cases and a review of the literature |
title_sort | dyspnoea and chest pain as the presenting symptoms of pneumomediastinum: two cases and a review of the literature |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4780017/ https://www.ncbi.nlm.nih.gov/pubmed/26498134 http://dx.doi.org/10.5830/CVJA-2015-035 |
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