Guzman Rojas Patricia, Agostinho Jeremy, Hanna Rami, Karasik Olga
Internal Medicine, University of Central Florida College of Medicine, Orlando, USA.
Cureus. 2018 May 1;10(5):e2562. doi: 10.7759/cureus.2562.
Spontaneous pneumomediastinum (SPM) is a rare entity with a reported incidence of approximately 1:7,000 to 1:100,000 of hospital admissions. It has been described as a complication of various conditions related to increased intrathoracic pressure, like recurrent vomiting, post-partum state, vigorous coughing or sneezing, and others. We present a 25-year-old man who came in with intractable vomiting, secondary to diabetic ketoacidosis (DKA), and was found to have pneumomediastinum on chest imaging. The patient was treated conservatively, eventually recovering and being discharged after several days. SPM is rarely seen as a complication of DKA. Diagnosis and management may present a challenge. Usually, the condition is benign and treated conservatively. We report this case to increase awareness among physicians of possible pneumomediastinum in a young male presenting with DKA and dyspnea and to emphasize the benign course of this condition.
自发性纵隔气肿（SPM）是一种罕见疾病，据报道在住院患者中的发病率约为1:7000至1:100000。它被描述为与胸腔内压力增加相关的各种情况的并发症，如反复呕吐、产后状态、剧烈咳嗽或打喷嚏等。我们报告一名25岁男性，因糖尿病酮症酸中毒（DKA）继发顽固性呕吐入院，胸部影像学检查发现纵隔气肿。患者接受保守治疗，最终康复并在数天后出院。SPM很少被视为DKA的并发症。诊断和管理可能具有挑战性。通常，这种情况是良性的，采用保守治疗。我们报告此病例是为了提高医生对患有DKA和呼吸困难的年轻男性可能发生纵隔气肿的认识，并强调这种情况的良性病程。
