Cough Induced Pneumomediastinum Due to Tracheal Tear

Devaraja, K and Nayak, Dipak Ranjan and Kamath, Poonam Ashok (2018) Cough Induced Pneumomediastinum Due to Tracheal Tear. Journal of Clinical and Diagnostic Research, 12 (11). pp. 6-8. ISSN 0973-709X

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Spontaneous pneumomediastinum associated with subcutaneous emphysema following a sudden bout of cough is rare. Most of such pneumomediastinum would be associated with pneumothorax and would be a result of the ruptured pulmonary alveolus. Here, authors report a case of a 20-year-old male who developed swelling of neck and chest tightness following a sudden bout of cough. On examination, he was haemodynamically stable but had diffuse subcutaneous emphysema involving the neck and the upper chest. Radiology revealed pneumomediastinum without any pneumothorax. Authors think that the tracheal tear is the probable site of air leak into the soft tissue of the neck and the mediastinum. The patient was managed conservatively by close monitoring and supportive care. In patients with no prior underlying chest disease, and in those with no progressive respiratory distress, conservative treatment with cautious observation can successfully resolve this condition. This is a unique report, which attributes spontaneous pneumomediastinum without pneumothorax to the breach in the trachea.

Item Type: Article
Uncontrolled Keywords: Spontaneous pneumomediastinum; Subcutaneous emphysema; Tracheal injury
Subjects: Medicine > KMC Manipal > ENT
Depositing User: KMC Library
Date Deposited: 11 Jan 2019 10:52
Last Modified: 11 Jan 2019 10:52

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