Spontaneous pneumomediastinum: diagnostic and therapeutic interventionsReport as inadecuate

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Journal of Cardiothoracic Surgery

, 3:59

First Online: 03 November 2008Received: 29 August 2008Accepted: 03 November 2008


ObjectivesThe objective of this case series is to review our experience with spontaneous pneumomediastinum, review the available literature, and refine the current clinical approach to this uncommon condition.

MethodsThe case notes of all patients admitted to the George Washington University Medical Center with spontaneous pneumomediastinum from April 2005 to June 2008 were retrospectively reviewed, indentifying seventeen patients on whom various data was collected and analyzed.

ResultsThe typical patient is a young man. The commonest presenting complaint is chest pain. Odynophagia and subcutaneous emphysema are common. Leucocytosis is uncommon. The need for swallow studies, antibiotics, and prolonged hospitalization is uncommon. Most patients have no recurrences or sequelae on long-term follow-up.

ConclusionSpontaneous pneumomediastinum is an uncommon, self-limiting condition. Due to concerns for the integrity of the aero-digestive tract, the finding of spontaneous pneumomediastinum usually results in unnecessary radiological investigations, dietary restriction and antibiotic administration with prolonged hospitalization.

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Author: Faisal Al-Mufarrej - Jehangir Badar - Farid Gharagozloo - Barbara Tempesta - Eric Strother - Marc Margolis

Source: https://link.springer.com/


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