Blanco Ramos Montserrat, Cañizares Carretero Miguel Angel, García Fontán Eva, Rivo Vázquez José Eduardo, Cáceres Alvarado Nieves, de Castro Parga Gonzalo
Servicio de Cirugía Torácica, Complexo Hospitalario Universitario de Vigo, Hospital Xeral-Cíes, Vigo, Pontevedra, España.
Cir Esp. 2006 Nov;80(5):331-3. doi: 10.1016/s0009-739x(06)70977-0.
Spontaneous pneumomediastinum is an uncommon benign disorder that usually occurs in young men. Because of its clinical features and physiopathologic mechanism, other, more serious disorders that could require urgent treatment, such as Boerhaave's syndrome or spontaneous esophageal rupture, must be ruled out. We report the case of a 19-year-old man with no relevant history, who presented mediastinal emphysema after an episode of repeated vomiting in the context of alcohol abuse. Imaging techniques help to assess esophageal involvement.
自发性纵隔气肿是一种罕见的良性疾病，通常发生于青年男性。鉴于其临床特征和生理病理机制，必须排除其他可能需要紧急治疗的更严重疾病，如Boerhaave综合征或自发性食管破裂。我们报告一例19岁男性病例，该患者无相关病史，在酗酒导致反复呕吐后出现纵隔气肿。影像学技术有助于评估食管受累情况。
