scholarly journals Pneumomediastinum, pneumopericardium, and subcutaneous emphysema—a rare complication in COVID-19 infection

2021 ◽  
Vol 15 (1) ◽  
Author(s):  
Archana Baburao ◽  
Rinki Das ◽  
Shylaja Shyamsunder
Keyword(s):  
Subcutaneous Emphysema ◽  
Early Recognition ◽  
Rare Complication ◽  
Public Health Problem ◽  
Rare Condition ◽  
Prognostic Indicator ◽  
Case Presentation ◽  
Spontaneous Pneumomediastinum ◽  
Global Pandemic ◽  
Almost All

Abstract Background Coronavirus disease 2019 (COVID-19) has become a global pandemic and is posing a serious public health problem for almost all countries. Spontaneous pneumomediastinum, a rare condition, is usually seen in patients with underlying pulmonary pathology, infections, or mechanical ventilation. Spontaneous pneumomediastinum is a rare complication in COVID-19 pneumonia. Case presentation We report a case of spontaneous pneumomediastinum, pneumopericardium, and subcutaneous emphysema in a 62-year-old diabetic patient with COVID-19 infection who presented with cough, fever, and breathlessness, which turned to be a fatal complication. Conclusion Pneumomediastinum/subcutaneous emphysema, a not so common complication associated with COVID-19 infection, should be considered as a bad prognostic indicator of worsening disease and hence requires early recognition and careful monitoring of the patient for any possible unfavorable outcome.

scholarly journals Pneumomediastinum, Pneumopericardium, and Epidural Pneumatosis following Adenotonsillectomy: A Very Rare Complication

2018 ◽  
Vol 2018 ◽  
pp. 1-4 ◽  
Author(s):  
Feride Fatma Görgülü ◽  
Ayşe Selcan Koç ◽  
Orhan Görgülü
Keyword(s):  
Carotid Artery ◽  
Subcutaneous Emphysema ◽  
Early Recognition ◽  
Rare Complication ◽  
Rare Condition ◽  
Male Child ◽  
Radiological Findings ◽  
Unique Case ◽  
Unusual Condition ◽  
Taste Disorders

Adenotonsillectomy is a common surgical otolaryngology procedure that is associated with several complications, including hemorrhage, odynophagia, damage to teeth, taste disorders, atlantoaxial subluxation, lingual edema, infection, and injury of the carotid artery. Pneumomediastinum, pneumopericardium, and epidural pneumatosis are an extremely unusual condition in children with adenotonsillectomy. Treatment should be conservative in the majority of cases and based on benign self-limiting course of these diseases; early recognition can prevent further complications. The combination of pneumomediastinum with epidural pneumatosis, pneumopericardium, retropharyngeal-prevertebral pneumatosis, axillar-perihumeral pneumatosis, and subcutaneous emphysema is also a very rare condition. We present a unique case with the radiological findings of air in all of these areas in a 6-year-old male child with adenotonsillectomy. The case was unusual in that the patient developed this complication 3 hours later after adenotonsillectomy with severe vomitting. The possible mechanism, the algorithm of treatment, and precautions in such cases will be discussed.

scholarly journals Idiopathic pneumomediastinum – case report and review of the literature

2019 ◽  
Vol 17 (3) ◽  
pp. 269-272
Author(s):  
Iv. Novakov
Keyword(s):  
Subcutaneous Emphysema ◽  
Rare Case ◽  
Clinical Presentation ◽  
Pathological Condition ◽  
Rare Condition ◽  
Good Prognosis ◽  
Review Of The Literature ◽  
Precipitating Factors ◽  
Case Presentation ◽  
Spontaneous Pneumomediastinum

Idiopathic pneumomediastinum is a form of spontaneous pneumomediastinum without predisposing factors and precipitating factors. The purpose of this publication is to present a rare case of this pathological condition. Case presentation: A 21year-old female with spontaneous pneumomediastinum was revealed. Medical history, physical examination, imaging and interventional diagnosis couldn’t determine any predisposing and precipitating factors for pneumomediatinum: case of idiopathic pneumomediastinum with unusual widespread subcutaneous emphysema. Conclusion In conclusion, this publication refers to one relatively rare condition in the thoracic pathology – idiopathic pneumomediastinum. Being a case of idiopathic pneumomediastinum, there was an unusual clinical presentation of widespread subcutaneous emphysema. Despite widespread subcutaneous emphysema, the presenting case confirms the good prognosis of idiopathic pneumomediastinum.

scholarly journals An Interesting Case of Spontaneous Pneumomediastinum with Subcutaneous Emphysema following Oral Provocative Manoeuvre

2015 ◽  
Vol 7 (2) ◽  
pp. 93-96 ◽  
Author(s):  
CB Pratibha ◽  
Deepthi Satish ◽  
Suraj Gopal
Keyword(s):  
Foreign Body ◽  
Subcutaneous Emphysema ◽  
Rare Condition ◽  
Interesting Case ◽  
Valsalva Manoeuvre ◽  
Laryngeal Edema ◽  
Airway Compromise ◽  
Air Leak ◽  
Spontaneous Pneumomediastinum ◽  
Laryngeal Involvement

ABSTRACT Aim To discuss a case of spontaneous pneumomediastinum with pneumothorax with subcutaneous emphysema presenting with stridor due to laryngeal edema with relevant review of literature. Background Spontaneous pneumomediastinum is a rare condition that has been described in healthy individuals following Valsalva manoeuvre, excessive and prolonged cough or emesis. Laryngeal involvement in these cases has not been reported so far. Case description We present an interesting case of spontaneous pneumomediastinum with pneumothorax with pneumopericardium and cervicofacial emphysema with suspected ingestion of foreign body. In view of stridor due to laryngeal edema tracheostomy was done. No obvious cause for the air leak was found on further investigations. The foreign body sensation could have led to oral provocative manoeuvres by the patient causing increased intra-alveolar pressures and air leak. Conclusion Spontaneous pneumomediastinum with cervicofacial emphysema with pneumopericardium with laryngeal involvement is very rare. Tracheostomy is essential in case of airway compromise. A thorough evaluation for the underlying condition is essential to prevent further air leak. Clinical significance In a case of spontaneous pneumomediastinum with airway compromise due to involvement of the larynx, tracheostomy is essential to secure the airway and could also help in resolution of emphysema. How to cite this article Pratibha CB, Satish D, Gopal S, Balasubramanya AM. An Interesting Case of Spontaneous Pneumomediastinum with Subcutaneous Emphysema following Oral Provocative Manoeuvre. Int J Otorhinolaryngol Clin 2015;7(2):93-96.

scholarly journals Atypical Presentation of Intestinal Intussusception Caused by Insidious Inflammatory Myofibroblastic Tumor of the Bowel Wall

2017 ◽  
Vol 102 (7-8) ◽  
pp. 345-350
Author(s):  
Shuo Dong ◽  
Xiaoying Xie ◽  
Linsheng Zhao ◽  
Guanghua Pei
Keyword(s):  
Physical Examination ◽  
Inflammatory Myofibroblastic Tumor ◽  
Bowel Wall ◽  
Early Recognition ◽  
Rare Complication ◽  
Abdominal Mass ◽  
Case Presentation ◽  
Intestinal Intussusception ◽  
Chinese Girl ◽  
Operative Findings

Introduction: Inflammatory myofibroblastic tumor (IMT) is a rare but real tumor, which is histologically characterized by myofibroblastic spindle cells proliferation with inflammatory infiltrate. The lung is the most common affected organ, and extrapulmonary IMTs are less common. However, IMT seldom presents in the gastrointestinal tract, and intussusception is a rare complication of this tumor. Case presentation: We documented this rare case of a 12-year-old Chinese girl presenting with abdominal pain. The clinical and radiologic impression was bowel intussusception and bowel obstruction. No sign of abdominal mass was found before surgery, neither physical examination nor radiologic images. Operative findings revealed intestinal intussusception secondary to a little mass. Histopathlogic evaluation of this mass revealed IMT. Conclusion: In conclusion, IMT may present with bowel intussusception. However, at the intestinal location, the tumor may be found as an abdominal mass or may be insidious; hence, detailed history, physical examination, and imaging studies are necessary for early recognition and diagnosis.

scholarly journals Spontaneous pneumomediastinum associated with COVID-19: Rare complication of 2020 pandemic

2020 ◽  
Vol 4 (1) ◽  
pp. 018-020
Author(s):  
Nieves-Ortiz Arnaldo A ◽  
Fonseca-Ferrer Vanessa ◽  
Hernández-Moya Kyomara ◽  
Mendez Ramirez Keren ◽  
Ayala-Rivera Jose ◽  
...  
Keyword(s):  
Drug Users ◽  
Rare Complication ◽  
Rare Condition ◽  
Respiratory Illness ◽  
Chronic Obstructive ◽  
Acute Respiratory Illness ◽  
Obstructive Pulmonary Disease ◽  
Spontaneous Pneumomediastinum ◽  
History Of ◽  
Novel Virus

Spontaneous pneumomediastinum (SPM) is a rare condition, more commonly seen in patients with history of asthma, chronic obstructive pulmonary disease, infections, or drug users. Today, we face one novel virus that has cause an outbreak of acute respiratory illness, affecting over a million individuals worldwide. New knowledge is been gained of the virus and possible complications are been seen. Following, we present the case of a 71-year-old man with diagnosis of COVID-19 pneumonia complicated with spontaneous pneumomediastinum.

scholarly journals Myocarditis Caused by Brucella melitensis in the Absence of Endocarditis: Case Report and Review of the Literature

2019 ◽  
Vol 2019 ◽  
pp. 1-4 ◽  
Author(s):  
Maria Lagadinou ◽  
Virginia Mplani ◽  
Dimitrios Velissaris ◽  
Periklis Davlouros ◽  
Markos Marangos
Keyword(s):  
Brucella Melitensis ◽  
Rare Complication ◽  
Public Health Problem ◽  
University Hospital ◽  
Cardiac Complications ◽  
Important Public Health Problem ◽  
Life Saving ◽  
Retrosternal Pain ◽  
Almost All ◽  
The University

Brucellosis remains an important public health problem with endemic characteristics in many countries. Brucellosis can affect almost all organs and systems of human body. Cardiac complications are unusual, occurring in less than 2% of patients and usually manifest as endocarditis. We present the case of a 21-year-old Caucasian man, who was admitted to the University Hospital of Patras, Western Greece, with fatigue, fever up to 39°C, and retrosternal pain. Musculoskeletal, genitourinary, gastrointestinal, hematologic, nervous, skin, and mucous membranes and respiratory complications have been reported in several cases of brucellosis. Development of myocarditis is a highly rare complication of brucellosis, particularly in the absence of concomitant endocarditis. Clinicians should be aware of this clinical entity especially in endemic areas as appropriate antibiotic treatment is life-saving and may prevent serious cardiologic disorders.

A rare complication of diabetic ketoacidosis: spontaneous pneumomediastinum with subcutaneous emphysema

2019 ◽  
Author(s):  
Daniel Yusef ◽  
Henna Khattak ◽  
Leonie Perera ◽  
Saravanakumar Paramalingam ◽  
Shankar Kanumakala
Keyword(s):  
Diabetic Ketoacidosis ◽  
Subcutaneous Emphysema ◽  
Rare Complication ◽  
Spontaneous Pneumomediastinum

scholarly journals Postpartum Pneumomediastinum and Subcutaneous Emphysema: Two Case Reports

2013 ◽  
Vol 2013 ◽  
pp. 1-3 ◽  
Author(s):  
Shivanthi Kandiah ◽  
Harish Iswariah ◽  
Stephen Elgey
Keyword(s):  
Subcutaneous Emphysema ◽  
Case Reports ◽  
Rare Condition ◽  
Spontaneous Pneumomediastinum ◽  
Nulliparous Women

Spontaneous pneumomediastinum associated with subcutaneous emphysema is a rare condition also known as Hamman's syndrome. It can also be seen postpartum. We present two cases of subcutaneous emphysema associated with childbirth in nulliparous women, both of which resolved spontaneously.

scholarly journals A case of spontaneous pneumomediastinum in a patient with severe SARS-CoV-2 and a review of the literature

2021 ◽  
Vol 9 ◽  
pp. 2050313X2110100
Author(s):  
Duong T Hua ◽  
Farah Shah ◽  
Cherlyn Perez-Corral
Keyword(s):  
Subcutaneous Emphysema ◽  
Lung Diseases ◽  
Illicit Drugs ◽  
Positive Pressure Ventilation ◽  
Rare Complication ◽  
Positive Pressure ◽  
Chest Imaging ◽  
Shortness Of Breath ◽  
Spontaneous Pneumomediastinum ◽  
Hypoxic Respiratory Failure

Spontaneous pneumomediastinum is defined as having an etiology that is not related to surgery, trauma, or mechanical ventilation. Precipitating causes of spontaneous pneumomediastinum include coughing, exercise, vomiting, infection, underlying lung diseases such as asthma, and illicit drugs. Symptoms include chest pain, shortness of breath, and dysphagia. A 54-year-old man presented with 2 weeks of shortness of breath, cough, and fever. He was admitted for severe SARS-CoV-2 pneumonia and acute hypoxic respiratory failure requiring non-rebreather mask. Chest imaging on admission showed bilateral peripheral consolidations and pneumomediastinum with subcutaneous emphysema. No precipitating event was identified. He did not require initiation of positive pressure ventilation throughout his admission. On hospital day 7, chest imaging showed resolution of pneumomediastinum and subcutaneous emphysema, and he was successfully discharged on oxygen therapy. Spontaneous pneumomediastinum is a rare complication of severe acute respiratory syndrome coronavirus 2 infection. Spontaneous pneumomediastinum is typically benign and self-limiting, requiring only supportive treatment.

scholarly journals An Unexpected Case of Intrapartum Pneumomediastinum

2019 ◽  
Vol 2019 ◽  
pp. 1-4
Author(s):  
Drishti Madhok ◽  
Vinayak Smith ◽  
Erik Gunderson
Keyword(s):  
Nitrous Oxide ◽  
Subcutaneous Emphysema ◽  
Valsalva Maneuver ◽  
Rare Complication ◽  
Healthy Woman ◽  
Second Stage ◽  
Spontaneous Pneumomediastinum ◽  
Second Stage Of Labour

The dyad of spontaneous pneumomediastinum and subcutaneous emphysema is collectively known as Hamman’s syndrome. This rare complication is known to occur during the intrapartum period and its aetiology has been linked to the Valsalva maneuver in the second stage of labour. Nitrous oxide inhalation increases the risk. We present the case of a 21-year-old healthy woman who experienced these symptoms after nitrous oxide inhalation during the second stage of labour.

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