Chilukuru Ravindra Tagore Reddy, Aarthi J, Vuchuru Vishnupriya, Neela Akhil, T A Vidya
General Medicine, SRM Medical College Hospital and Research Centre, Chengalpattu, IND.
Cureus. 2024 Aug 13;16(8):e66751. doi: 10.7759/cureus.66751. eCollection 2024 Aug.
Spontaneous pneumomediastinum (SPM) is an uncommon condition characterized by air in the interstices of the mediastinum. Management generally involves supportive care; however, if a patient inspires high concentrations of oxygen, the mediastinal air will be absorbed faster. A 23-year-old man who presented with acute-onset breathlessness with a history of more than a year of lower backache was diagnosed with SPM and accompanying ankylosing spondylitis (AS) by a chest CT and spinal MRI and was treated conservatively. This case is being reported for its uniqueness, as SPM with underlying AS is rare.
自发性纵隔气肿（SPM）是一种罕见的病症，其特征为纵隔间隙内存在气体。治疗通常包括支持性护理；然而，如果患者吸入高浓度氧气，纵隔内的气体将被更快吸收。一名23岁男性，有超过一年的下背痛病史，现突发呼吸急促，经胸部CT和脊柱MRI检查被诊断为SPM并伴有强直性脊柱炎（AS），随后接受了保守治疗。由于伴有潜在AS的SPM较为罕见，故报道此病例以突显其独特性。
