Presentation
Sudden chest pain after two days of vomiting.
Patient Data
Age: 25 years
Gender: Male
From the case:
Pneumomediastinum and pneumorrhachis
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Streaky linear lucency is seen surrounding the cardiac outline and adjacent to the great vessels in the superior mediastinum. Similar streaky lucency is also seen within the soft tissues of the neck. Linear marking in the right apex of the lung.
From the case:
Pneumomediastinum and pneumorrhachis
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Extensive pneumomediastinum and surgical emphysema throughout the neck, also associated with trace bilateral pneumothorax and small volume pneumorrhachis.
Case Discussion
The findings are most likely secondary to vomiting causing barotrauma from increased bronchoalveolar pressure or from Boerhaave syndrome. Pneumorrhachis refers to the presence of gas within the spinal canal.
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