Pneumomediastinum

Case contributed by Dr Ana Brusic

Presentation

Supraclavicular emphysema after slingshot ride.

Patient Data

Age: 20
Gender: Male
X-ray

There is a moderate pneumomediastinum with evidence of subcutaneous emphysema involving the supraclavicular fossae bilaterally.  No pneumothorax.  The lungs and pleural spaces are clear.

CT

Pneumomediastinum with gas tracking into the base of the neck, both supraclavicular fossae, the right axilla and down the anterior chest wall. 

Case Discussion

Spontaneous pneumomediastinum, likely related to Valsalva maneuver during the high-velocity slingshot ride. 

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Case information

rID: 58203
Published: 23rd May 2018
Last edited: 16th Jul 2018
System: Chest
Inclusion in quiz mode: Included
Institution: Austin Health

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