Full-text resources of PSJD and other databases are now available in the new Library of Science.
Visit https://bibliotekanauki.pl

PL EN


Preferences help
enabled [disable] Abstract
Number of results

Journal

2014 | 9 | 5 | 642-647

Article title

Spontaneous pneumomediastinum: ten years of our experience in diagnosis and outcome

Content

Title variants

Languages of publication

EN

Abstracts

EN
Spontaneous pneumomediastinum (SPM) is a rare clinical condition that may be mild but also dramatic with sudden onset of chest pain and dyspnea accompanied by swelling and subcutaneous crepitations. The objective of this study was to analyze the clinical presentation and outcome of SPM in a specialized pulmonary tertiary care centre over a 10 years year period. In subsequent followup, we received information related to recurrence episodes of SPM by patients or their GPs physicians. Eighteen patients, 15 (83%) men, mean age 24 years (SD ±7.86) were diagnosed with SPM. Predominant symptoms were chest pain and cough (n=11) then dyspnea (n=9). Asthma was the most common predisposing condition (n=12). Pneumomediastinum was present on chest radiograph in 17 cases (94%), and in one case it was detected only by computed tomography. The mean length of hospital stay was 7 days (SD ±4.4 days). All our patients recovered and there were no complications. Recurrent event occurred in one asthma patient, 2 years after the first episode. Although, SPM is usually a self-limiting and benign condition, close monitoring is necessary. Recurrence is rare, but possible, with no evidence that routine monitoring of those patients is needed.

Publisher

Journal

Year

Volume

9

Issue

5

Pages

642-647

Physical description

Dates

published
1 - 10 - 2014
online
31 - 7 - 2014

Contributors

author
  • Institute for Pulmonary Diseases of Vojvodina, Faculty of Medicine, University of Novi Sad, Novi Sad, Serbia
  • Institute for Pulmonary Diseases of Vojvodina, Faculty of Medicine, University of Novi Sad, Novi Sad, Serbia
  • Institute for Pulmonary Diseases of Vojvodina, Faculty of Medicine, University of Novi Sad, Novi Sad, Serbia
  • Institute for Pulmonary Diseases of Vojvodina, Faculty of Medicine, University of Novi Sad, Novi Sad, Serbia
  • Institute for Pulmonary Diseases of Vojvodina, Faculty of Medicine, University of Novi Sad, Novi Sad, Serbia
author
  • Institute for Pulmonary Diseases of Vojvodina, Faculty of Medicine, University of Novi Sad, Novi Sad, Serbia
author
  • Institute for Pulmonary Diseases of Vojvodina, Faculty of Medicine, University of Novi Sad, Novi Sad, Serbia

References

  • [1] Macia I., Moya J., Ramos R., Morera R., Escobar I., Saumench J., et al.. Spontaneous pneumomediastinum: 41 cases, Eur J Cardiothorac Surg. 2007; 31:1110–1114 http://dx.doi.org/10.1016/j.ejcts.2007.03.008[Crossref]
  • [2] Rapose A., Naniwadekar A., Sarvat B., Sarria J.C., Esophageal Perforation and Pneumomediastinum: Rare Complications of Tuberculosis. Infect Dis Clin Pract. 2008; 16: 266–267 http://dx.doi.org/10.1097/IPC.0b013e318162a992[Crossref]
  • [3] Hamman L., Spontaneous mediastinal emphysema, Bull Johns Hopkins Hosp. 1939; 64: 1–21
  • [4] Takada K., Matsumoto S., Hiramatsu T., Kojima E., Shizu M., Okachi S., et al., Spontaneous pneumomediastinum: an algorithm for diagnosis and management, Ther Adv Respir Dis. 2009; 3: 301–307 http://dx.doi.org/10.1177/1753465809350888[Crossref]
  • [5] Perna V., Vilà E., Guelbenzu J.J., Amat I., Pneumomediastinum: is this really a benign entity? When it can be considered as spontaneous? Our experience in 47 adult patients, Eur J Cardiothorac Surg. 2010; 37(3): 573–575 http://dx.doi.org/10.1016/j.ejcts.2009.08.002[WoS][Crossref]
  • [6] Jones G.M., Rae W., Lwin A.A., Kurukulaaratchy R. J., Pneumomediastinum Leading to Respiratory Compromise as a Complication of Acute Severe Asthma, Am. J. Respir. Crit. Care Med. 2013; 187: e5–e6 http://dx.doi.org/10.1164/rccm.201202-0250IM[Crossref]
  • [7] Miura H, Taira O, Hiraguri S. Ohtani K., Kato H., Clinical Features of Medical Pneumomediastinum, Ann Thorac Cardiovasc Surg. 2003; 9(3): 188–191
  • [8] Newcomb A.E., Clark C.P., Spontaneous pneumomediastinum: a benign curiosity or a significant problem?, Chest. 2005; 128; 3298–3302 http://dx.doi.org/10.1378/chest.128.5.3298[Crossref]
  • [9] Abolnik I., Losses I.S., Breuer R., Spontaneous pneumomediastinum: a report of 25 cases, Chest. 1991; 100: 93–95 http://dx.doi.org/10.1378/chest.100.1.93[Crossref]
  • [10] Iyer V.N., Joshi A.Y., Ryu J.H., Spontaneous Pneumomediastinum: Analysis of 62 Consecutive Adult Patients, Mayo Clin Proc. 2009; 84(5): 417–421 http://dx.doi.org/10.1016/S0025-6196(11)60560-0[Crossref]
  • [11] Caceres M., Ali S.Z., Braud R., Weiman D, Garrett H.E. Jr., Spontaneous pneumomediastinum: a comparative study and review of the literature, Ann Thorac Surg. 2008; 86: 962–966 http://dx.doi.org/10.1016/j.athoracsur.2008.04.067[Crossref][WoS]
  • [12] Kwon S.J., Blum G.M., Kalhan R., A 23-Year-Old Woman With Sudden-Onset Dyspnea and Chest Pain Penetrating to the Back, Chest. 2008; 133: 574–578 http://dx.doi.org/10.1378/chest.07-1629[Crossref][WoS]
  • [13] Ba-Ssalamah A., Schima W., Umek W., Herold C.J., Spontaneus pneumomediastinum, Eur Radiol. 1999; 9: 724–727 http://dx.doi.org/10.1007/s003300050742[Crossref]
  • [14] Kaneki T., Kubo K., Kawashima A., Koizumi T., Sekiguchi M., Sone S., Spontaneous pneumomediastinum in 33 patients: yield of chest computed tomography for the diagnosis of the mild type, Respiration. 2000; 67(4): 408–411 http://dx.doi.org/10.1159/000029539[Crossref]
  • [15] Delgado-Plasencia L, González-García I, Rodríguez-González D. Torres-Monzón A.E., Pneumomediastinum as a complication of emphysematous cholecystitis: Case report, BMC Gastroenterology. 2010; 10–99 [WoS][Crossref]
  • [16] Koullias G.J., Korkolis D.P., Wang X.J., Hammond G.L., Current assessment and management of spontaneous pneumomediastinum: experience in 24 adult patients, Eur J Cardiothorac Surg. 2004; 25(5): 852–855 http://dx.doi.org/10.1016/j.ejcts.2004.01.042[Crossref]
  • [17] Yellin A., Gapany-Gapanavicius M., Lieberman Y., Spontaneous pneumomediastinum: is it a rare cause of chest pain?, Thorax. 1983; 38: 383–385 http://dx.doi.org/10.1136/thx.38.5.383[Crossref]

Document Type

Publication order reference

Identifiers

YADDA identifier

bwmeta1.element.-psjd-doi-10_2478_s11536-013-0311-1
JavaScript is turned off in your web browser. Turn it on to take full advantage of this site, then refresh the page.