Alaska Yasser A
Department of Emergency Medicine, King Saud University Medical City, King Saud University, Riyadh, Saudi Arabia.
Am J Case Rep. 2019 May 6;20:651-654. doi: 10.12659/AJCR.915118.
BACKGROUND Spontaneous pneumomediastinum (SPM) is an uncommon, self-limiting pathology defined as the presence of free air in the mediastinum without a traumatic cause. Factors that can lead to the development of SPM include alterations in breathing patterns such as bronchial asthma, marijuana smoking, cocaine inhalation, and barotrauma occurring with Valsalva's maneuver. CASE REPORT This is a case of a previously healthy 22-year-old who presented to the Emergency Department complaining of sudden shortness of breath and chest pain after smoking a hookah for the first time. Clinical and radiological findings led to the diagnosis of pneumomediastinum, which was treated conservatively. The only apparent cause of the patient's condition was hookah smoking. CONCLUSIONS SPM should be considered in patients who develop chest pain and shortness of breath after smoking a hookah. To the best of our knowledge, no previous cases of spontaneous pneumomediastinum associated exclusively with hookah smoking in a previously healthy patient have been reported in the English literature.
背景 自发性纵隔气肿（SPM）是一种罕见的自限性病症，定义为纵隔内存在无创伤性病因的游离气体。可导致SPM发生的因素包括呼吸模式改变，如支气管哮喘、吸食大麻、吸入可卡因以及瓦尔萨尔瓦动作时发生的气压伤。病例报告 这是一例既往健康的22岁患者，首次吸食水烟后到急诊科就诊，主诉突发呼吸急促和胸痛。临床及影像学检查结果确诊为纵隔气肿，予以保守治疗。该患者病情的唯一明显病因是吸食水烟。结论 对于吸食水烟后出现胸痛和呼吸急促的患者，应考虑SPM。据我们所知，英文文献中此前尚无仅与吸食水烟相关的自发性纵隔气肿病例报道，该患者为既往健康患者。
