Department of Orthopedic Surgery, Nagoya University, Nagoya, Japan.
J Sports Sci Med. 2021 Mar 1;20(1):52-55. doi: 10.52082/jssm.2021.52. eCollection 2021 Mar.
Spontaneous pneumomediastinum (SPM) is an uncommon and usually benign self-limiting clinical disorder found in young people, often without apparent precipitating factors or diseases. A pressure gradient exists between the peripheral pulmonary alveoli and the hilum, and increased intra-alveolar pressure causes rupture of the terminal alveoli. We present the case of a 15-year-old male soccer player who presented with a complaint of anterior chest pain and dysphagia after stopping the strong ball with his chest. His symptom gradually progressed over hours. We can make the diagnosis of SPM using by chest X-ray and computed tomography (CT) scanning. His symptoms were gradually resolved over the course of approximately one week with no exercise and careful observation. We believe that our case provides very useful information to alert clinicians and coaches regarding this rare disease that may occur in anyone including adolescent soccer players.
自发性纵隔气肿（SPM）是一种罕见且通常良性的自限性临床疾病，多见于年轻人，通常无明显诱发因素或疾病。外周肺肺泡与肺门之间存在压力梯度，肺泡内压增高导致终末肺泡破裂。我们报告了 1 例 15 岁男性足球运动员，其在胸部停球后出现前胸部疼痛和吞咽困难。数小时后，其症状逐渐加重。我们可以通过胸部 X 线和计算机断层扫描（CT）扫描做出 SPM 的诊断。大约一周左右，他没有运动，仅通过仔细观察，其症状逐渐缓解。我们认为我们的病例为临床医生和教练提供了非常有用的信息，提醒他们注意这种可能发生在包括青少年足球运动员在内的任何人身上的罕见疾病。
