Pneumomediastinum from blunt trauma

Case contributed by RMH Core Conditions
Diagnosis certain

Presentation

Motor vehicle collision.

Patient Data

Age: 50 years
Gender: Male

Increased lucency seen adjacent to the trachea, suspicious for pneumomediastinum.

Pneumomediastinum. Dependent atelectasis. No pneumothorax. No other abnormality or injury identified. 

Case Discussion

Pneumomediastinum is common in blunt trauma, occurring in up to 10% of patients. Most commonly a discrete cause is not identified and pneumomediastinum may be secondary to the Macklin effect.

Uncommonly (< 2%), pneumomediastinum may also be secondary to esophageal or tracheobronchial rupture. 

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