Pneumomediastinum from blunt trauma

Case contributed by RMH Core Conditions

Presentation

Motor vehicle collision.

Patient Data

Age: 51
Gender: Male
Modality: X-ray

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

Modality: CT

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 oesophageal or tracheobronchial rupture. 

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Case Information

rID: 34400
Case created: 18th Feb 2015
Last edited: 19th May 2016
Systems: Chest, Trauma
Inclusion in quiz mode: Included

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