A Case of Spontaneous Mediastinal Emphysema
| Autor: | Hajime Hirose, Satoshi Aoyagi, Masatoshi Hirayama, Jun Yamanaka, Tatsunori Koshino, Makito Okamoto, Kazuo Yao |
|---|---|
| Rok vydání: | 1996 |
| Předmět: |
medicine.medical_specialty
medicine.diagnostic_test business.industry medicine.medical_treatment Mediastinum Physical examination respiratory system Submucosal hemorrhage Bed rest respiratory tract diseases Surgery medicine.anatomical_structure Cricoid cartilage medicine Mediastinal Emphysema medicine.symptom business Subcutaneous emphysema Exploratory surgery |
| Zdroj: | Nihon Kikan Shokudoka Gakkai Kaiho. 47:333-339 |
| ISSN: | 1880-6848 0029-0645 |
| DOI: | 10.2468/jbes.47.333 |
| Popis: | A 22-year-old boy developed neck swelling and slight dyspnea after frequently diving into a pool. Physical examination revealed subcutaneous emphysema, and a subsequent X-ray examination confirmed the presence of air in the mediastinum. Fiberoptic bronchoscopy revealed localized submucosal hemorrhage and coating beneath the lower margin of the cricoid cartilage, suggesting tracheal repture. However, exploratory surgery of the neck could not confirm a rupture, and the case was diagnosed as spontaneous idiopathic mediastinal emphysema with subcutaneous emphysema.A travheotomy was then performed for the continuing dyspnea, and antibiotic therapy was prescribed with bed rest. The mediastinal and subcutaneous emphysema gradually subsided within 10 days. On the 11th postoperative day, the tracheostoma was closed and the patient was discharged.A statistival review was also made of 51 cases of spontaneous mediastinal emphysema including the present case, who have cisited the authors' clinic during the past 5 years. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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