Presentation
Shortness of breath following a bout of coughing.
Patient Data
Age: 16 years
Gender: Male
From the case:
Spontaneous pneumomediastinum
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Info
Mild pneumomediastinum with air outlining the left mediastinal border, azygoesophageal recess and tracking up into the superior paratracheal space.
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Info
The findings in this case of pneumomediastinum are outlined for easier comprehension.
Case Discussion
Spontaneous pneumomediastinum is known to occur mainly in adolescent and young adult males. By definition, there is no history of recent trauma. Patients are often asthmatic and may present after an episode of vigorous coughing or exercice.
This patient was treated conservatively without any complication after a barium swallow demonstrated no oesophageal leak.
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