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A Case of Spontaneous Pneumomediatsinum during Taekwondo

Tuberculosis & Respiratory Diseases / Tuberculosis & Respiratory Diseases,
2008, v.65 no.3, pp.222-224






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Abstract

Spontaneous pneumomediastinum is defined as a clinical syndrome that’s characterized by the presence of air in the mediastinal space, which is not due to an old previous injury or surgery. The condition is caused by a sustained increase in the intraalveolar and intrabronchial pressure with extravasated air dissecting along the perivascular spaces of the mediastinum. This is an uncommon complication of sports activity. The most common symptom is chest pain. This diagnosis should be considered for younger people who present with pleuritic chest pain or dyspnea and a characteristic crackling feel (known as subcutaneous crepitation) when touching of the skin covering the chest wall or neck, and they look otherwise well with normal vital signs. Usually no treatment is required, but the mediastinal air will be absorbed faster if the patient inspires high concentrations of oxygen. We present here a case of spontaneous pneumomediastinum that occurred during a Taekwondo match, along with a review of the relevant literature

keywords
Spontaneous pneumomediastinum, Chest pain, Oxygen

Reference

1.

Pierce MJ, (1998) Pneumomediastinum in a female track and field athlete: a case report, J Athl Train

2.

Fallon KE, (1996) Pneumomediastinum in a surf lifesaver, Br J Sports Med

3.

Campillo-Soto A, (2005) Spontaneous pneumomediastinum: descriptive study of our experience with 36 cases, Arch Bronconeumol

4.

Faust RC, (1940) Subcutaneous emphysema during labor, Northwest Med

5.

Cho H, (2001) A case of severe asthma complicated with pneumoperitoneum and pneumomediastinum during AMBU ventilation, Tuberc Respir Dis

6.

Kanetaka K, (2003) Spontaneous pneumomediastinum: report of a case and review of literature, Acta Med Nagasaki

7.

Miller WE, (1972) Pneumomediastinum resulting from performing Valsalva maneuvers during marihuana smoking, Chest

8.

Park JH, (2001) A case of measles pneumonia complicated by subcutaneous emphysema and pneumomediastinum in an 18-year-old patient, Tuberc Respir Dis

9.

박명재, (2008) 비특이성 간질성 폐렴에서 발생한 자발성 종격동기종, 피하기종과 대장기종, Tuberculosis and Respiratory Diseases

10.

Lorge HJ, (1940) The etiology of idiopathic pneumothorax, Am J Med Sci

11.

Mumford AD, (1996) Clinically significant pulmonary barotrauma after inflation of party balloons, BMJ

12.

Vosk A, (1977) Mediastinal emphysema in mountain climbers: report of two cases and review, Heart Lung

13.

Newcomb AE, (2005) Spontaneous pneumomediastinum: a benign curiosity or a significant problem, Chest

14.

Kaneki T, (2000) Spontaneous pneumomediastinum in 33 patients: yield of chest computed tomography for the diagnosis of the mild type, Respiration

15.

Abolnik I, (1991) Spontaneous pneumomediastinum: a report of 25 cases, Chest

Tuberculosis & Respiratory Diseases