Abstract
Presence of air in the mediastinum is called ‘Pneumomediastinum’. It was reported that pneumomediastinum occurs at a rate of 10% as a result of severe blunt thoracic trauma. This may present either spontaneously or traumatic. The one which occurs spontaneously , also known as spontaneous pneumomediastinum, is rare and usually prefers young males. However, traumatic pneumomediastinum may occur in both genders after thoracic and cervical trauma. Pneumomediastinum has variable clinical findings and it is important for the diagnosis to document all of the following three components: chest pain, dyspnea and subcutaneous emphysema.We present a patient with pneumomediastinum accompanied by bilateral pneumothorax as a result of chest trauma.
References
- Demirel A, Aynacı E, Özgül MA, Özgül G, Uysal MA. Primer Spontan Pnömomediastinum. Solunum. 2008; 10(1):71- 3.
- Wintermark M, Wicky S, Schnyder P, Capasso P. Blunt Traumatic Pneumomediastinum. Using Ct to Reveal the Macklin Effect. AJR. 1999;172(1):129-30.
- Wintermark M, Schnyder P. The Macklin Effect A Frequent Etiology for Pneumomediastinum in Severe Blunt Chest Trauma. CHEST. 2001;120(2);543-7.
- Chalumeau M, Le Clainche L, Sayeg N, Sannier N, Michel JL, Marianowski R, et al. Spontaneous pneumomediastinum in children. Pediatr Pulmonol Jan. 2001;31(1):67-75.
- Özhasenekler A, Gökhan Ş, Yılmaz F, Taş M, Tan Ö, Nasır A. Künt Boyun Travması Sonrası Gelişen Pnömomediastinum ve Pnömotoraks. AKATOS. 2010; 1(2):17-9.
- Cevik Y, Akman C, Şahin H, Altınbilek E, Balkan E. Spontan Pnömomediastinum: İki Vaka. Akademik Acil Tıp Dergisi. 2009;8(1):60-2.
- Chang AK, Mukherji P. Iatrogenic Pneumothorax Spontaneous and Pneumomediastinum. http://emedicine. medscape.com/article/808162-overview
- Çobanoğlu U, Melek M, Edirne Y. Toraks Travması Dışı Nedenlerle Meydana Gelen Pnömomediastinum Olguları. Solunum. 2009; 11(2): 66-74.
- Damore DT, Dayan PS. Medical causes of pneumomediastinum in children. Clin Pediatr. 2001;(40): 87Ralp-Edwards AC, Pearson FG. Atypical presentation of spontaneous pneumomediastinum. Ann Thorac Surg.1994;58(1):1758-60.
- Olgun H, Türkyılmaz A, Aydın Y, Ceviz N. Spontaneous pneumomediastinum in a child as a rare cause of chest pain. Arch Turk Soc Cardiol. 2009;37(1):51-2.
- Adadıoğlu İ, Yavuz Y, Solak O, Yürümez Y, Esme H. Primer Spontan Pnömomediastinum: Olgu Sunumu. AKATOS. 2010; 1(1):37-40.
- Hamman L. Spontaneous mediastinal emphysema. Bull Johns Hopkins Hosp. 1939;64(1):1-21.
- Altınok T, Ceran S. Pnömomediastinum. Türkiye Klinikleri. 2007;3(1):39-42.
- Jhamb U, Sethi GR, Puri R, Kapoor S. Surgical emphysema: A rare presentation of foreign body inhalation. Pediatr Emerg Care. 2004;20(1):311–3. Bozok Tıp Derg 2014;4(3):83-6 Bozok Med J 2014;4(3):83-86
Abstract
ÖZET
Mediastende hava bulunması ‘’Pnömomediastinum’’ olarak tanımlanmaktadır. Şiddetli künt toraks travmalarından sonra % 10 oranında pnömomediastinum görüldüğü bildi- rilmiştir. Bu tablo kendiliğinden oluşabileceği gibi, travmatik olarak da oluşabilmektedir. Kendiliğinden oluşan ve spontan pnömomediastinum olarak da ifade edilen şekli, ge- nellikle genç erkeklerde ve nadir görülür. Travmatik pnömomediastinum ise, genellikle toraks travmaları ve servikal travmalar sonucunda herkesde görülebilmektedir. Kliniği değişkenlik gösteren pnömomediastinumun tanısında göğüs ağrısı, nefes darlığı ve sub- kutan amfizem semptomlarının üçünün olması önemlidir.
Biz toraks travması neticesinde bilateral pnömotoraksın eşlik ettiği pnömomediastinum- lu bir hasta sunuyoruz.
Anahtar kelimeler: Pnömotoraks; Pnömomediastinum; Travma
ABSTRACT
Presence of air in the mediastinum is called ‘Pneumomediastinum’. It was reported that pneumomediastinum occurs at a rate of 10% as a result of severe blunt thoracic trauma. This may present either spontaneously or traumatic. The one which occurs spontaneously , also known as spontaneous pneumomediastinum, is rare and usually prefers young males. However, traumatic pneumomediastinum may occur in both genders after thoracic and cervical trauma. Pneumomediastinum has variable clinical findings and it is important for the diagnosis to document all of the following three components: chest pain, dyspnea and subcutaneous emphysema.
We present a patient with pneumomediastinum accompanied by bilateral pneumothorax as a result of chest trauma.
Keywords: Pneumothorax; Pneumomediastinum; Trauma
References
- Demirel A, Aynacı E, Özgül MA, Özgül G, Uysal MA. Primer Spontan Pnömomediastinum. Solunum. 2008; 10(1):71- 3.
- Wintermark M, Wicky S, Schnyder P, Capasso P. Blunt Traumatic Pneumomediastinum. Using Ct to Reveal the Macklin Effect. AJR. 1999;172(1):129-30.
- Wintermark M, Schnyder P. The Macklin Effect A Frequent Etiology for Pneumomediastinum in Severe Blunt Chest Trauma. CHEST. 2001;120(2);543-7.
- Chalumeau M, Le Clainche L, Sayeg N, Sannier N, Michel JL, Marianowski R, et al. Spontaneous pneumomediastinum in children. Pediatr Pulmonol Jan. 2001;31(1):67-75.
- Özhasenekler A, Gökhan Ş, Yılmaz F, Taş M, Tan Ö, Nasır A. Künt Boyun Travması Sonrası Gelişen Pnömomediastinum ve Pnömotoraks. AKATOS. 2010; 1(2):17-9.
- Cevik Y, Akman C, Şahin H, Altınbilek E, Balkan E. Spontan Pnömomediastinum: İki Vaka. Akademik Acil Tıp Dergisi. 2009;8(1):60-2.
- Chang AK, Mukherji P. Iatrogenic Pneumothorax Spontaneous and Pneumomediastinum. http://emedicine. medscape.com/article/808162-overview
- Çobanoğlu U, Melek M, Edirne Y. Toraks Travması Dışı Nedenlerle Meydana Gelen Pnömomediastinum Olguları. Solunum. 2009; 11(2): 66-74.
- Damore DT, Dayan PS. Medical causes of pneumomediastinum in children. Clin Pediatr. 2001;(40): 87Ralp-Edwards AC, Pearson FG. Atypical presentation of spontaneous pneumomediastinum. Ann Thorac Surg.1994;58(1):1758-60.
- Olgun H, Türkyılmaz A, Aydın Y, Ceviz N. Spontaneous pneumomediastinum in a child as a rare cause of chest pain. Arch Turk Soc Cardiol. 2009;37(1):51-2.
- Adadıoğlu İ, Yavuz Y, Solak O, Yürümez Y, Esme H. Primer Spontan Pnömomediastinum: Olgu Sunumu. AKATOS. 2010; 1(1):37-40.
- Hamman L. Spontaneous mediastinal emphysema. Bull Johns Hopkins Hosp. 1939;64(1):1-21.
- Altınok T, Ceran S. Pnömomediastinum. Türkiye Klinikleri. 2007;3(1):39-42.
- Jhamb U, Sethi GR, Puri R, Kapoor S. Surgical emphysema: A rare presentation of foreign body inhalation. Pediatr Emerg Care. 2004;20(1):311–3. Bozok Tıp Derg 2014;4(3):83-6 Bozok Med J 2014;4(3):83-86
Details
| Primary Language | Turkish |
|---|---|
| Journal Section | Case Report |
| Authors | |
| Publication Date | December 3, 2014 |
| Published in Issue | Year 2014 Volume: 4 Issue: 3 |
