scholarly journals Spontaneous pneumomediastinum and subcutaneous emphysema secondary to pulmonary alveolar microlithiasis

2021 ◽  
Vol 69 (3) ◽  
pp. 416-420
Author(s):  
Fuat Erel ◽  
Candan Güngör ◽  
Nurhan Sarıoğlu ◽  
Gülden Deniz Aksu ◽  
Gülay Turan ◽  
...  
2021 ◽  
Vol 10 (7) ◽  
pp. 1346
Author(s):  
Talida Georgiana Cut ◽  
Cristina Tudoran ◽  
Voichita Elena Lazureanu ◽  
Adelina Raluca Marinescu ◽  
Raluca Dumache ◽  
...  

(1) Background: Spontaneous pneumomediastinum (PM), pneumothorax (PT), and pneumopericardium (PP) were recently reported as rare complications in patients with severe COVID-19 pneumonia, and our study aims to follow the evolution of these involvements in 11 cases. The presumed pathophysiological mechanism is air leak due to extensive diffuse alveolar damage followed by alveolar rupture. (2) Methods: We followed the occurrence of PM, PN, PP, and subcutaneous emphysema (SE) in 1648 patients hospitalized during the second outbreak of COVID-19 (October 2020–January 2021) in the main hospital of infectious diseases of our county and recorded their demographic data, laboratory investigations and clinical evolution. (3) Results: Eleven patients (0.66%) developed PM, with eight of them having associated PT, one PP, and seven SE, in the absence of mechanical ventilation. Eight patients (72.72%) died and only three (27.27%) survived. All subjects were nonsmokers, without known pulmonary pathology or risk factors for such complications. (4) Conclusions: pneumomediastinum, pneumothorax, and pneumopericardium are not so uncommon complications of SARS-CoV2 pneumonia, being observed mostly in male patients with severe forms and associated with prolonged hospitalization and poor prognosis. In some cases, with mild forms and reduced pulmonary injury, the outcome is favorable, not requiring surgical procedures, mechanical ventilation, or intensive care stay.


1982 ◽  
Vol 7 (3) ◽  
pp. 103-107 ◽  
Author(s):  
CHOHEI SHIGENO ◽  
MASAO FUKUNAGA ◽  
RIKUSHI MORITA ◽  
HISATOSHI MAEDA ◽  
MEGUMU HINO ◽  
...  

1968 ◽  
Vol 103 (3) ◽  
pp. 509-518 ◽  
Author(s):  
JIRAYR P. BALIKIAN ◽  
FARID J. D. FULEIHAN ◽  
CHARLES N. NUCHO

1980 ◽  
Vol 24 (1) ◽  
pp. 24-26
Author(s):  
B. RAMA RAO ◽  
MICHAEL B. MARTIN

1998 ◽  
Vol 7 (3) ◽  
pp. 324
Author(s):  
Akihiko Kimura ◽  
T Matsuyama ◽  
J Takada ◽  
S Ishii ◽  
M Usui

1996 ◽  
Vol 26 (1) ◽  
pp. 33-36 ◽  
Author(s):  
H. Schmidt ◽  
U. L�rcher ◽  
R. Kitz ◽  
S. Zielen ◽  
P. Ahrens ◽  
...  

Author(s):  
Koichi Hagiwara ◽  
Takeshi Johkoh ◽  
Teruo Tachibana

2015 ◽  
Vol 7 (2) ◽  
pp. 93-96 ◽  
Author(s):  
CB Pratibha ◽  
Deepthi Satish ◽  
Suraj Gopal

ABSTRACT Aim To discuss a case of spontaneous pneumomediastinum with pneumothorax with subcutaneous emphysema presenting with stridor due to laryngeal edema with relevant review of literature. Background Spontaneous pneumomediastinum is a rare condition that has been described in healthy individuals following Valsalva manoeuvre, excessive and prolonged cough or emesis. Laryngeal involvement in these cases has not been reported so far. Case description We present an interesting case of spontaneous pneumomediastinum with pneumothorax with pneumopericardium and cervicofacial emphysema with suspected ingestion of foreign body. In view of stridor due to laryngeal edema tracheostomy was done. No obvious cause for the air leak was found on further investigations. The foreign body sensation could have led to oral provocative manoeuvres by the patient causing increased intra-alveolar pressures and air leak. Conclusion Spontaneous pneumomediastinum with cervicofacial emphysema with pneumopericardium with laryngeal involvement is very rare. Tracheostomy is essential in case of airway compromise. A thorough evaluation for the underlying condition is essential to prevent further air leak. Clinical significance In a case of spontaneous pneumomediastinum with airway compromise due to involvement of the larynx, tracheostomy is essential to secure the airway and could also help in resolution of emphysema. How to cite this article Pratibha CB, Satish D, Gopal S, Balasubramanya AM. An Interesting Case of Spontaneous Pneumomediastinum with Subcutaneous Emphysema following Oral Provocative Manoeuvre. Int J Otorhinolaryngol Clin 2015;7(2):93-96.


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