Maithani Tripti, Dey Debraj, Sharma Chandermohan
Department of ENT & Speech Therapy, Shri Guru Ram Rai Institute of Medical & Health Sciences, 1 Patel Nagar, Dehradun 248001, India.
Ear Nose Throat J. 2012 Oct;91(10):E9-E11.
A 12-year-old boy presented with subcutaneous emphysema of the face, neck, and upper chest. He had no significant history that suggested any specific cause, and initial investigations revealed no underlying pathology. Computed tomography of the chest detected pneumomediastinum. The patient was managed conservatively, and he responded. He was discharged 7 days after admission with a complete resolution of the emphysema. To the best of our knowledge, this is the first reported case of spontaneous pneumomediastinum presenting as cervicofacial swelling in a child without any other symptoms.
一名12岁男孩出现面部、颈部和上胸部皮下气肿。他没有提示任何特定病因的重要病史,初步检查未发现潜在病变。胸部计算机断层扫描检测到纵隔气肿。患者接受保守治疗,症状有所缓解。入院7天后出院,气肿完全消退。据我们所知,这是首例报道的儿童自发性纵隔气肿表现为颈面部肿胀且无任何其他症状的病例。