Spontaneous Pneumomediastinum: A Review
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Oct 19, 2017
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Abstract
to a traumatic pathology, surgical procedures or mechanical ventilation. It is considered a benign pathology which rarely occurs with symptoms that can lead to other diagnosis related to cardiovascular, gastrointestinal or respiratory pathologies. It also has a low incidence according to literature, with reports of only one case for every 14,000 patients that visit emergency care services, having a higher incidence on young male adults that manifest thoracic pain and dyspnea, with additional related physical findings similar to a subcutaneous emphysema. This is a revision concerning spontaneous pneumomediastinum, a low incidence pathology with a clinical importance in the differential diagnosis of thoracic pain
Keywords
pneumomediastinum spontaneous, mediastinumneumomediastino espontáneo, mediastino
References
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7. Sahni S, Verma S, Grullon J, Esquire A, Patel P, Talwar A. Spontaneous pneumomediastinum: Time for consensus. N Am J Med Sci. 2013;5(8):460-4.
8. Bakhos CT, Pupovac SS, Ata A, Fantauzzi JP, Fabian T. Spontaneous pneumomediastinum: An extensive workup is not required. J Am Coll Surg. 2014;219(4):713-7. doi: http://dx.doi.org/10.1016/j.jamcollsurg.2014.06.001
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10. Banki F, Estrera AL, Harrison RG, Miller CC, Leake SS, Mitchell KG, et al. Pneumomediastinum: Etiology and a guide to diagnosis and treatment. Am J Surg. 2013;206(6):1001-6. doi: http://dx.doi.org/10.1016/j.amjsurg.2013.08.009
11. Kim H, Cho T. Unusual presentation of spontaneous pneumomediastinum. Lung India [Internet]. 2010;27(4):239. Disponible en: http://www.lungindia.com/text.asp?2010/27/4/239/71961
12. Bolvardi E, Pishbin E, Ebrahimi M, Mahmoudi Gharaee A, Bagherian F. Spontaneous pneumomediastinum with a rare presentation. Case Rep Emerg Med. 2014;2014(Figure 1):451407.
13. Kelly S, Hughes S, Nixon S, Paterson-Brown S. Spontaneous pneumomediastinum (Hamman’s syndrome). Surgeon. 2010;8(2):63-6. doi: http://dx.doi.org/10.1016/j.surge.2009.10.007
14. Kim SH, Huh J, Song J, Kang IS. Spontaneous pneumomediastinum: A rare disease associated with chest pain in adolescents. Yonsei Med J. 2015;56(5):1437-42.
15. Fitzwater JW, Silva NN, Knight CG, Malvezzi L, Ramos-Irizarry C, Burnweit CA. Management of spontaneous pneumomediastinum in children. J Pediatr Surg. 2015;50(6):983-6. doi: http://dx.doi.org/10.1016/j.jpedsurg.2015.03.024
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17. Gupta A, Rizvi I, Srivastava VK, Debnath J, Kapur BN, Khanna VN, et al. Spontaneous pneumomediastinum. Med J Armed Forces India [Internet]. 2015;71:S85-8. Disponible en: http://linkinghub.elsevier.com/retrieve/pii/S0377123713000464
18. Zaia BE, Wheeler S. Pneumomediastinum after inhalation of helium gas from party balloons. J Emerg Med. 2010;38(2):155-8. Disponible en: http://dx.doi.org/10.1016/j.jemermed.2007.02.066
19. Lee SY, Sheu CY, Wu CL, Hung CL, Weng YL, Lin CC, et al. Spontaneous pneumomediastinum: A clinical radiologic analysis. Int J Gerontol. 2008;2(4):222-8. doi: http://dx.doi.org/10.1016/S1873-9598(09)70011-0
20. Kis A, Sutto Z, Tamasi L, Eszes N, Losonczy G, Mathe Z, et al. Spontaneous pneumomediastinum after kidney transplantation: Case report. Transplant Proc. 2010;42(6):2350-2. doi: http://dx.doi.org/10.1016/j.transproceed.2010.05.016
21. Brearley WD, Taylor L, Haley MW, Littmann L. Pneumomediastinum mimicking acute ST-segment elevation myocardial infarction. Int J Cardiol. 2007;117(2):73-5.
22. Natale C, D’Journo XB, Duconseil P, Thomas PA. Recurrent spontaneous pneumomediastinum in an adult. Eur J Cardio-thoracic Surg. 2012;41(5):1199-201.
23. Jougon JB, Ballester M, Bride T Mac, Dromer CEH, Velly JF. Assessment of spontaneous pneumomediastinum: experience with 12 patients. Ann Thorac Surg. 2003;75(6):1711-4.
24. Johnson NN, Toledo A, Endom EE. Pneumothorax, pneumomediastinum, and pulmonary embolism. Pediatr Clin North Am. 2010;57(6):1357-83. doi: http://dx.doi.org/10.1016/j.pcl.2010.09.009
25. Lee SC, Lee DH, Kim GJ. Is primary spontaneous pneumomediastinum a truly benign entity? Emerg Med Australas. 2014;26(6):573-8.
2. Allen CJ, Teisch LF, Stahl KD. Spontaneous pneumomediastinum, pneumopericardium and epidural pneumatosis: insights on clinical management. Acute Card Care [Internet]. 2015;17(1):20-3. Disponible en: http://www.tandfonline.com/doi/full/10.3109/17482941.2015.1005103
3. Ruiz-Ruiz F, Sampériz A, Rubio T, Escolar F. Neumomediastino espontáneo. An Sist Sanit Navar. 2006;29(2):275-8.
4. Iyer VN, Joshi AY, Ryu JH. Spontaneous pneumomediastinum: analysis of 62 consecutive adult patients. Mayo Clin Proc [Internet]. 2009;84(5):417-21. Disponible en: http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=2676124&tool=pmcentrez&rendertype=abstract
5. Silva A, Barros D, Raddatz A. Neumomediastino espontáneo (síndrome de Hamman): una entidad poco frecuente no siempre reconocida. Rev Chil Cir. 2013;65(5):442-7.
6. Kim KS, Jeon HW, Moon Y, Kim Y Du, Ahn MI, Park JK, et al. Clinical experience of spontaneous pneumomediastinum: Diagnosis and treatment. J Thorac Dis. 2015;7(10):1817-24.
7. Sahni S, Verma S, Grullon J, Esquire A, Patel P, Talwar A. Spontaneous pneumomediastinum: Time for consensus. N Am J Med Sci. 2013;5(8):460-4.
8. Bakhos CT, Pupovac SS, Ata A, Fantauzzi JP, Fabian T. Spontaneous pneumomediastinum: An extensive workup is not required. J Am Coll Surg. 2014;219(4):713-7. doi: http://dx.doi.org/10.1016/j.jamcollsurg.2014.06.001
9. Caceres M, Ali SZ, Braud R, Weiman D, Garrett HE. Spontaneous pneumomediastinum: a comparative study and review of the literature. Ann Thorac Surg [Internet]. 2008;86(3):962-6. Disponible en: http://www.ncbi.nlm.nih.gov/pubmed/18721592
10. Banki F, Estrera AL, Harrison RG, Miller CC, Leake SS, Mitchell KG, et al. Pneumomediastinum: Etiology and a guide to diagnosis and treatment. Am J Surg. 2013;206(6):1001-6. doi: http://dx.doi.org/10.1016/j.amjsurg.2013.08.009
11. Kim H, Cho T. Unusual presentation of spontaneous pneumomediastinum. Lung India [Internet]. 2010;27(4):239. Disponible en: http://www.lungindia.com/text.asp?2010/27/4/239/71961
12. Bolvardi E, Pishbin E, Ebrahimi M, Mahmoudi Gharaee A, Bagherian F. Spontaneous pneumomediastinum with a rare presentation. Case Rep Emerg Med. 2014;2014(Figure 1):451407.
13. Kelly S, Hughes S, Nixon S, Paterson-Brown S. Spontaneous pneumomediastinum (Hamman’s syndrome). Surgeon. 2010;8(2):63-6. doi: http://dx.doi.org/10.1016/j.surge.2009.10.007
14. Kim SH, Huh J, Song J, Kang IS. Spontaneous pneumomediastinum: A rare disease associated with chest pain in adolescents. Yonsei Med J. 2015;56(5):1437-42.
15. Fitzwater JW, Silva NN, Knight CG, Malvezzi L, Ramos-Irizarry C, Burnweit CA. Management of spontaneous pneumomediastinum in children. J Pediatr Surg. 2015;50(6):983-6. doi: http://dx.doi.org/10.1016/j.jpedsurg.2015.03.024
16. Lee C-Y, Wu C-C, Lin C-Y. Etiologies of spontaneous pneumomediastinum in children of different ages. Pediatr Neonatol [Internet]. 2009;50(5):190-5. Disponible en: http://linkinghub.elsevier.com/retrieve/pii/S1875957209600620
17. Gupta A, Rizvi I, Srivastava VK, Debnath J, Kapur BN, Khanna VN, et al. Spontaneous pneumomediastinum. Med J Armed Forces India [Internet]. 2015;71:S85-8. Disponible en: http://linkinghub.elsevier.com/retrieve/pii/S0377123713000464
18. Zaia BE, Wheeler S. Pneumomediastinum after inhalation of helium gas from party balloons. J Emerg Med. 2010;38(2):155-8. Disponible en: http://dx.doi.org/10.1016/j.jemermed.2007.02.066
19. Lee SY, Sheu CY, Wu CL, Hung CL, Weng YL, Lin CC, et al. Spontaneous pneumomediastinum: A clinical radiologic analysis. Int J Gerontol. 2008;2(4):222-8. doi: http://dx.doi.org/10.1016/S1873-9598(09)70011-0
20. Kis A, Sutto Z, Tamasi L, Eszes N, Losonczy G, Mathe Z, et al. Spontaneous pneumomediastinum after kidney transplantation: Case report. Transplant Proc. 2010;42(6):2350-2. doi: http://dx.doi.org/10.1016/j.transproceed.2010.05.016
21. Brearley WD, Taylor L, Haley MW, Littmann L. Pneumomediastinum mimicking acute ST-segment elevation myocardial infarction. Int J Cardiol. 2007;117(2):73-5.
22. Natale C, D’Journo XB, Duconseil P, Thomas PA. Recurrent spontaneous pneumomediastinum in an adult. Eur J Cardio-thoracic Surg. 2012;41(5):1199-201.
23. Jougon JB, Ballester M, Bride T Mac, Dromer CEH, Velly JF. Assessment of spontaneous pneumomediastinum: experience with 12 patients. Ann Thorac Surg. 2003;75(6):1711-4.
24. Johnson NN, Toledo A, Endom EE. Pneumothorax, pneumomediastinum, and pulmonary embolism. Pediatr Clin North Am. 2010;57(6):1357-83. doi: http://dx.doi.org/10.1016/j.pcl.2010.09.009
25. Lee SC, Lee DH, Kim GJ. Is primary spontaneous pneumomediastinum a truly benign entity? Emerg Med Australas. 2014;26(6):573-8.
How to Cite
Londoño Duarte, M. P., & Ávila Arenas, L. M. (2017). Spontaneous Pneumomediastinum: A Review. Universitas Medica, 58(4). https://doi.org/10.11144/Javeriana.umed58-4.neum
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