In the differential diagnosis of chest pain and dyspnea, spontaneous pneumomediastinum should always be considered
📌 3 Key Takeaways
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Objective & Hypothesis:Introduction: Spontaneous pneumomediastinum, without any triggers cause or trauma is described as finding air in the mediastinum and this is a rare clinical situation.Case report: Our emergency room, said to be close by psychological problems brought the feeling of congestion in the throat, inability to breathe and chest pain complaints, which present a case with the diagnosis of spontaneous pnömomediastinum.Conclusion: systemic examination is very important in conversif reactions.
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Key Findings & Data:Introduction: Spontaneous pneumomediastinum, without any triggers cause or trauma is described as finding air in the mediastinum and this is a rare clinical situation.Case report: Our emergency room, said to be close by psychological problems brought the feeling of congestion in the throat, inability to breathe and chest pain complaints, which present a case with the diagnosis of spontaneous pnömomediastinum.Conclusion: systemic examination is very important in conversif reactions.
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Conclusion & Impact:In the differential diagnosis of chest pain and dyspnea, spontaneous pneumomediastinum should always be considered
Introduction: Spontaneous pneumomediastinum, without any triggers cause or trauma is described as finding air in the mediastinum and this is a rare clinical situation.Case report: Our emergency room, said to be close by psychological problems brought the feeling of congestion in the throat, inability to breathe and chest pain complaints, which present a case with the diagnosis of spontaneous pnömomediastinum.Conclusion: systemic examination is very important in conversif reactions. In the differential diagnosis of chest pain and dyspnea, spontaneous pneumomediastinum should always be considered
Özet
Giriş: Spontan pnömomediastinum, herhangi bir tetikleyici sebep veya travma olmaksızın mediasten içinde hava bulunması olarak tarif edilir. Oldukça nadir görülen klinik bir durumdur. Olgu Sunumu: Acil servisimize, yakınları tarafından psikolojik problemleri olduğu söylenerek getirilen boğazda tıkanıklık hissi, nefes alamama ve göğüs ağrısı şikayetleri olan ve spontan pnömomediastinum tanısı konulan bir olgu sunulmuştur. Sonuç: Konversif reaksiyonlarda, sistemik muayene oldukça önemlidir ve göğüs ağrısı ve nefes darlığının ayırıcı tanısında spontan pnömomediastinum mutlaka düşünülmesi gerekir.
Maravelli A.J., Skiendzielewski J.J., Snover W., Pneumomediastinum acquired by glass blowing, Emerg Med. 2000;19:145-7.
Matsushima T., Yoneyama H., Yano T., et al. Spontaneous mediastinal emphysema caused by strained utterance. Is it characteritic of the Japanese. Chest 1995;108;886.
Altınok T., Ceran S., Pnömomediastinum, Türkiye Klinikleri J Surg Med Sci 2007;3:39-42.
Ralp-Edwards A.C., Pearson F.G., Atypical presentation of spontaneous pneumomediastinum, Ann Thorac Surg. 1994;58:1758-60.