Hoskison E, Judd O, Dickinson E, Vaidhyanath R, Pau H
Department of Otolaryngology, University Hospitals of Leicester, UK.
J Laryngol Otol. 2010 Feb;124(2):220-2. doi: 10.1017/S0022215109990727. Epub 2009 Aug 3.
We report a case of spontaneous pneumomediastinum presenting with chest and anterior neck pain.
The clinical findings, differential diagnosis and selection of radiological investigations are discussed.
Spontaneous pneumomediastinum is an uncommon condition usually presenting in young patients. Presentation to the otolaryngology department occurs due to the presence of symptoms such as neck pain. Differential diagnoses must be considered and excluded, using the clinical features and the results of radiological investigation. Once the diagnosis is confirmed, conservative management is undertaken.
Spontaneous pneumomediastinum is uncommon and the clinical features are variable. The recommended investigation is a computed tomography scan with orally administered, water soluble contrast to exclude important differential diagnoses and thus enable definitive diagnosis.
我们报告一例以胸痛和颈前疼痛为表现的自发性纵隔气肿病例。
讨论了临床表现、鉴别诊断及影像学检查的选择。
自发性纵隔气肿是一种少见的疾病，通常发生于年轻患者。因颈部疼痛等症状而就诊于耳鼻喉科。必须根据临床特征和影像学检查结果考虑并排除鉴别诊断。一旦确诊，采取保守治疗。
自发性纵隔气肿少见，临床特征多样。推荐的检查是口服水溶性造影剂的计算机断层扫描，以排除重要的鉴别诊断从而实现明确诊断。
