Department of General Internal and Psychosomatic Medicine, University of Heidelberg, Medical University Hospital, Im Neuenheimer Feld 410, Heidelberg, Germany.
Eur Eat Disord Rev. 2010 Mar;18(2):107-15. doi: 10.1002/erv.1002.
We report a case of a 20-year-old white woman with the history of anorexia nervosa presenting with spontaneous pneumomediastinum (SPM). On admission, her body mass index (BMI) was 9.9 kg/m(2). Physical examination revealed subcutaneous crepitation especially in the axillae, the intercostal spaces, between the scapulae and along the spine. A chest X-ray showed extensive tissue emphysema, especially in the upper mediastinum. In a computed tomography (CT) scan, additional air was found in the upper retroperitoneal space adjacent to the stomach and to the left of the aorta. The patient recovered clinically within three weeks, and a CT scan showed a complete remission of the pneumomediastinum and subcutaneous emphysema. Based on this, case review of the literature about the frequency of pneumomediastinum in young patients with low weight is presented concerning epidemiology, etiology, symptoms, diagnosis, treatment, time to recovery and prognosis.
我们报告了一例 20 岁白人女性，有神经性厌食症病史，表现为自发性纵隔气肿（SPM）。入院时，她的体重指数（BMI）为 9.9kg/m(2)。体格检查显示皮下捻发音，特别是在腋窝、肋间隙、肩胛间区和脊柱旁。胸部 X 线片显示广泛的组织气肿，特别是在上纵隔。在 CT 扫描中，发现上腹膜后间隙与胃相邻的部位和主动脉左侧有额外的空气。患者在三周内临床康复，CT 扫描显示纵隔气肿和皮下气肿完全消退。基于此，对文献中关于低体重年轻患者纵隔气肿的频率进行了病例回顾，包括流行病学、病因、症状、诊断、治疗、恢复时间和预后。
