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A diagnostic challenge of an unusual presentation of pneumomediastinum.
Chin J Traumatol. 2014; 17(1):44-7.CJ

Abstract

A 77-year-old man who had underwent orthopedic surgery 17 days ago due to his left femur fracture caused by a pedestrian-car accident came to our emergency department with the chief complaint of a 2 days history of sore throat and cough and also swelling of eyelids. He had no respiratory distress or any other life-threatening symptoms. Subsequent physical examination revealed remarkable edema and crepitus over the whole face, neck, proximal upper limbs and the anterior and posterior chest regions, and also bilateral hyperresonance was detected in pulmonary auscultation. The imaging studies showed pneumomediastinum and bilateral subcutaneous emphysema. The diagnosis of pneumomediastinum and mild left pneumothorax and massive subcutaneous emphysema was definitely made. He underwent bilateral tube thoracostomy by using a 32 French chest tube under local anesthesia in the fifth intercostal space on the anterior axillary line. The patient was discharged with no complications 10 days postoperatively.

Authors+Show Affiliations

Safety Promotion and Injury Prevention Research Center, Shahid Beheshti University of Medical Sciences, Evin, Tehran, Iran.No affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

24506924

Citation

Hatamabadi, Hamid Reza, et al. "A Diagnostic Challenge of an Unusual Presentation of Pneumomediastinum." Chinese Journal of Traumatology = Zhonghua Chuang Shang Za Zhi, vol. 17, no. 1, 2014, pp. 44-7.
Hatamabadi HR, Esmailnejad SS, Khazayi AR, et al. A diagnostic challenge of an unusual presentation of pneumomediastinum. Chin J Traumatol. 2014;17(1):44-7.
Hatamabadi, H. R., Esmailnejad, S. S., Khazayi, A. R., & Masjoudi, B. (2014). A diagnostic challenge of an unusual presentation of pneumomediastinum. Chinese Journal of Traumatology = Zhonghua Chuang Shang Za Zhi, 17(1), 44-7.
Hatamabadi HR, et al. A Diagnostic Challenge of an Unusual Presentation of Pneumomediastinum. Chin J Traumatol. 2014;17(1):44-7. PubMed PMID: 24506924.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - A diagnostic challenge of an unusual presentation of pneumomediastinum. AU - Hatamabadi,Hamid Reza, AU - Esmailnejad,Shaghayegh Sadat, AU - Khazayi,Ahmad Reza, AU - Masjoudi,Betsabeh, PY - 2014/2/11/entrez PY - 2014/2/11/pubmed PY - 2014/11/18/medline SP - 44 EP - 7 JF - Chinese journal of traumatology = Zhonghua chuang shang za zhi JO - Chin. J. Traumatol. VL - 17 IS - 1 N2 - A 77-year-old man who had underwent orthopedic surgery 17 days ago due to his left femur fracture caused by a pedestrian-car accident came to our emergency department with the chief complaint of a 2 days history of sore throat and cough and also swelling of eyelids. He had no respiratory distress or any other life-threatening symptoms. Subsequent physical examination revealed remarkable edema and crepitus over the whole face, neck, proximal upper limbs and the anterior and posterior chest regions, and also bilateral hyperresonance was detected in pulmonary auscultation. The imaging studies showed pneumomediastinum and bilateral subcutaneous emphysema. The diagnosis of pneumomediastinum and mild left pneumothorax and massive subcutaneous emphysema was definitely made. He underwent bilateral tube thoracostomy by using a 32 French chest tube under local anesthesia in the fifth intercostal space on the anterior axillary line. The patient was discharged with no complications 10 days postoperatively. SN - 1008-1275 UR - https://www.unboundmedicine.com/medline/citation/24506924/A_diagnostic_challenge_of_an_unusual_presentation_of_pneumomediastinum L2 - https://linkinghub.elsevier.com/retrieve/pii/S1008-1275(15)30114-0 DB - PRIME DP - Unbound Medicine ER -