Spontaneous pneumomediastinum

Case contributed by Dr Servet Kahveci


Sudden chest pain. There is no trauma history.

Patient Data

Age: 35 years
Gender: Male

There is air in the mediastinum surrounding the aorta and trachea (pneumomediastinum).

No pneumothorax and pneumopericardium


Follow-up CT study one month afterwards

The pneumomediastinum has resolved.

The CT study is now normal.

Case Discussion

Pneumomediastinum represents extraluminal gas in the mediastinum. There are many causes of pneumomediastinum such as trauma, surgery, infection, asthma. Although it is rare, pneumomediastinum can occur spontaneously. Pneumomediastinum can lead to pneumothorax, pneumopericardium, pneumoperitoneum or pneumoretroperitoneum.

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Case information

rID: 60675
Published: 1st Jun 2018
Last edited: 1st Jun 2018
System: Chest
Inclusion in quiz mode: Included
Institution: Sevgi Private Hospital

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