Pneumomediastinum

Case contributed by Dr Ian Bickle

Presentation

Chest trauma after a jolly good night out, which had a sour end. Rib fracture?

Patient Data

Age: 20
Gender: Male
X-ray

Air in the left side of the mediastinum, best illustrated along the lateral aspect of the left heart border.

Surgical emphysema in the right supraclavicular fossa, due to tracking of the mediastinal air.

No pneumothorax.  No rib fracture.

Case Discussion

Pneumomediastinum can occur for a number of reasons, one of the commonest being chest trauma.

It usually self-resolves, although in other contexts, like oesophageal perforation, the cause of its appearances needs addressing first.

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Case information

rID: 56837
Case created: 24th Nov 2017
Last edited: 29th Nov 2017
System: Chest
Tag: rdgh
Inclusion in quiz mode: Included

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