Talmy Tomer, Izhaki Ziv, Gendler Sami, Aviram Eliad
Israel Defense Forces Medical Corps, Surgeon General's Headquarters, Ramat Gan 52621, Israel.
Department of Military Medicine, Faculty of Medicine, Hebrew University, Jerusalem 9574869, Israel.
Mil Med. 2023 Jul 22;188(7-8):e2823-e2825. doi: 10.1093/milmed/usac315.
Spontaneous pneumomediastinum is a rare and self-limiting clinical entity, often triggered by activities causing acute changes in intrathoracic pressure such as childbirth, strenuous exercise, vomiting, and coughing. We present a case of a young male soldier who developed spontaneous pneumothorax following persistent yelling while attending a soccer match. Spontaneous pneumomediastinum may be preceded by a variety of strenuous activities, and clinicians should be aware of this entity when performing the evaluation of patients with nonspecific symptoms such as chest pain and dyspnea. Patients diagnosed with pneumomediastinum but presenting with additional findings such as vomiting and pleural effusion should be thoroughly evaluated to rule out potentially life-threatening mediastinal organ injury. Return to military duty should be determined by clinical reevaluation and follow-up imaging findings.
自发性纵隔气肿是一种罕见的自限性临床病症，常由分娩、剧烈运动、呕吐和咳嗽等导致胸腔内压力急性变化的活动引发。我们报告一例年轻男性士兵的病例，该患者在参加足球比赛时持续大喊后发生了自发性气胸。自发性纵隔气肿可能先于各种剧烈活动出现，临床医生在对胸痛和呼吸困难等非特异性症状的患者进行评估时应了解这一病症。被诊断为纵隔气肿但伴有呕吐和胸腔积液等其他表现的患者应进行全面评估，以排除潜在的危及生命的纵隔器官损伤。是否恢复军事任务应由临床重新评估和后续影像学检查结果决定。
