Spontaneous pneumomediastinum presenting as rhinolalia and chest pain
| Autor: | G Walker, Richard W. F. Breakey, W Oldfield |
|---|---|
| Rok vydání: | 2012 |
| Předmět: |
Adult
Male Thorax Chest Pain medicine.medical_specialty Pneumomediastinum Chest pain Speech Disorders Rare Diseases Bronchoscopy medicine Humans Rhinolalia Cardiothoracic Mediastinal Emphysema medicine.diagnostic_test business.industry Respiratory disease General Medicine medicine.disease Management Surgery Online Case Report Acute Disease Radiology medicine.symptom Differential diagnosis Tomography X-Ray Computed business |
| Zdroj: | Annals of The Royal College of Surgeons of England |
| ISSN: | 1478-7083 0035-8843 |
| DOI: | 10.1308/003588412x13373405387339 |
| Popis: | This report discusses a case of spontaneous pneumomediastinum in a 25-year-old medical student. The patient presented with chest pain and a tonal change in voice. Symptoms occurred after an episode of stretching and were exacerbated by coughing. There was no history of underlying respiratory disease and he was a non-smoker. Management was conservative. At the four-week follow-up appointment, bronchoscopy and computed tomography of the thorax demonstrated complete resolution. Spontaneous pneumomediastinum is uncommon, with rhinolalia being a rare presenting feature. It should be considered as a differential diagnosis in patients with chest pain associated with a change in voice. A detailed history may reveal preceding activities associated with raised intrathoracic pressure. |
| Databáze: | OpenAIRE |
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