A Case of Pneumomediastinum and Parapneumonic Effusions Following Pharyngeal Perforation Caused by Shouting
0
조회
0
다운로드
1
인용
0
참고문헌
키워드
초록
Spontaneous pneumomediastinum is an uncommon disorder, and usually affects young men and has a benign course. Common triggers are asthma, the smoking of illicit drugs, the Valsalva maneuver, and respiratory infections. Most cases are usually due to alveolar rupture into the pulmonary interstitium caused by excess pressure. The air dissects to the hilum along the peribronchovascular sheaths and spreads into the mediastinum. However, pneumomediastinum following pharyngeal perforation is very rare, and has only been reported in relation to dental procedures,head and neck surgery, or trauma. We report a case of pneumomediastinum that developed in a 43-year-old patient with pharyngeal perforation after shouting. His course was complicated by mediastinitis and parapneumonic effusions.
Abstract
Spontaneous pneumomediastinum is an uncommon disorder, and usually affects young men and has a benign course. Common triggers are asthma, the smoking of illicit drugs, the Valsalva maneuver, and respiratory infections. Most cases are usually due to alveolar rupture into the pulmonary interstitium caused by excess pressure. The air dissects to the hilum along the peribronchovascular sheaths and spreads into the mediastinum. However, pneumomediastinum following pharyngeal perforation is very rare, and has only been reported in relation to dental procedures,head and neck surgery, or trauma. We report a case of pneumomediastinum that developed in a 43-year-old patient with pharyngeal perforation after shouting. His course was complicated by mediastinitis and parapneumonic effusions.
참고문헌 (14)
- Panacek EA, "Spontaneous pneumomediastinum: clinical and natural history", Ann Emerg Med, 21, pp.1222~1227 (1992)
- Newcomb AE, "Spontaneous pneumomediastinum: a benign curiosity or a significant problem?", Chest, 128, pp.3298~3302 (2005)
- Laennec RT, "A treatise on disease of the chest and on mediate auscultation. 2nd ed" (1827), T and G Underwood
- Hamman L, "Spontaneous mediastinal emphysema", Bull Johns Hopkins Hosp, 64, pp.1~21 (1939)
- Chalumeau M, "Spontaneous pneumomediastinum in children", Pediatr Pulmonol, 31, pp.67~75 (2001)
- Shine NP, "Spontaneous retropharyngeal and cervical emphysema: a rare singer’s injury", Ear Nose Throat J, 84, pp.726~727 (2005)
- Macklin MT, "Malignant interstitial emphysema of lungs and mediastinum as an important occult complication in many respiratory diseases and other conditions: an interpretation of the clinical literature in the light of laboratory experiment", Medicine, 23, pp.281~358 (1944)
- Maunder RJ, "Subcutaneous and mediastinal emphysema. Pathophysiology, diagnosis, and management", Arch Intern Med, 144, pp.1447~1453 (1984)
- Torres-Melero J, "Pneumomediastinum secondary to use of a high speed air turbine drill during a dental extraction", Thorax, 51, pp.339~341 (1996)
- Bodenez C, "Spontaneous cervical emphysema: a case report", Rev Laryngol Otol Rhinol (Bord), 124, pp.195~198 (2003)
- Rousié C, "Spontaneous tracheal rupture: a case report", Acta Chir Belg, 104, pp.204~208 (2004)
- Ba-Ssalamah A, "Spontaneous pneumomediastinum", Eur Radiol, 9, pp.724~727 (1999)
- Lee YJ, "A case of spontaneous pneumomediastinum and pneumopericardium in a young adult", Korean J Intern Med, 16, pp.205~209 (2001)
- Makeieff M, "Management of descending necrotizing mediastinitis", Laryngoscope, 114, pp.772~775 (2004)