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Raith, W; Zartner, P; Beitzke, A.
Spontaneous pneumomediastinum as a cause of chest pain
Z Kardiol. 2003; 92(7):601-605 Doi: 10.1007/s00392-003-0958-8 (- Case Report)
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Leading authors Med Uni Graz
Raith Wolfgang
Co-authors Med Uni Graz
Beitzke Albrecht
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Abstract:
Two patients, both 16 years old, presented because of chest pain after extended sports activity. The thoracal X-ray showed trapped air in the mediastinum especially around the cervical vessels in one patient. In the thoracal X-ray of the other patient a vertical lucent streak along the left side of the heart, showing the pleura as a fine opaque line, was found. Both developed subcutaneous emphysema after a few hours, which led to the diagnosis spontaneous pneumomediastinum. The chest pain resolved under analgetic medication, and after resorption of the subcutaneous emphysema both patients recovered completely. The main differential diagnosis of the spontaneous pneumomediastinum is besides pericarditis and myocarditis, the spontaneous esophageal perforation (also called Boerhaave syndrome), with the high morbidity, it has to be ruled out consequently.
Find related publications in this database (using NLM MeSH Indexing)
Adolescent -
Chest Pain - etiology
Diagnosis, Differential - etiology
Humans - etiology
Male - etiology
Mediastinal Emphysema - radiography
Prognosis - radiography
Remission, Spontaneous - radiography
Rupture, Spontaneous - radiography
Subcutaneous Emphysema - radiography

Find related publications in this database (Keywords)
spontaneous pneumomediastinum
chest pain
pneumothorax
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