Health Sciences University, Antalya Education and Research Hospital; Department of Emergency Medicine.
Health Sciences University, Antalya Education and Research Hospital; Department of Emergency Medicine, Antalya /Turkey.
Acta Biomed. 2021 Apr 30;92(S1):e2021141. doi: 10.23750/abm.v92iS1.10086.
Spontaneous pneumomediastinum (SPM) is a rare condition characterized by chest pain of sudden- onset, difficulty breathing, dysphagia, dysphonia, and subcutaneous emphysema, which are some-times -accompanied by pain in the neck or back. This condition typically has a benign character that limits itself, and supportive therapy is all that is needed; however, life-threatening consequences may occur, such as upper respiratory tract obstruction, esophageal injury, and tracheal damage, requiring surgery. We report here a man aged 19 years who coughed vigorously due to acute allergic asthma, which lead to subcutaneous emphysema starting from the neck down to the chest, mediastinum and spinal epidural space. This case report stresses the importance of including SPM in the differential diagnosis of cough and chest pain in the young.
自发性纵隔气肿（SPM）是一种罕见的疾病，其特征为突发胸痛、呼吸困难、吞咽困难、声音嘶哑和皮下气肿，有时还伴有颈部或背部疼痛。这种情况通常具有良性特征，自行限制，只需支持性治疗；然而，可能会发生危及生命的后果，如上呼吸道阻塞、食管损伤和气管损伤，需要手术。我们在此报告一例 19 岁男性，因急性过敏性哮喘剧烈咳嗽，导致从颈部向下到胸部、纵隔和脊柱硬膜外间隙的皮下气肿。本病例报告强调了在年轻患者咳嗽和胸痛的鉴别诊断中包括 SPM 的重要性。
