Spontaneous Pneumomediastinum from Running Sprints

Spontaneous pneumomediastinum (SPM) is a fairly rare condition, caused by increased intrathoracic pressure, leading to free air in the mediastinal structures. Underlying lung conditions are associated with increased incidence of SPM, including asthma, interstitial lung disease, pneumonia, bullous lu...

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Main Author: Joseph W. Turban
Format: Article
Language:English
Published: Wiley 2010-01-01
Series:Case Reports in Medicine
Online Access:http://dx.doi.org/10.1155/2010/927467
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author Joseph W. Turban
author_facet Joseph W. Turban
author_sort Joseph W. Turban
collection DOAJ
description Spontaneous pneumomediastinum (SPM) is a fairly rare condition, caused by increased intrathoracic pressure, leading to free air in the mediastinal structures. Underlying lung conditions are associated with increased incidence of SPM, including asthma, interstitial lung disease, pneumonia, bullous lung, and radiation therapy for lung cancer. It is often preceded by Valsalva maneuvers, vomiting, coughing, asthma exacerbation, sneezing, childbirth, or intense physical activity. A case of SPM is presented in a 15-year-old male, who complained of throat pain and dyspnea while running sprints at football practice. Workup revealed SPM, and he was subsequently admitted and treated conservatively. His symptoms resolved in 2 days and he was discharged and suffered no further recurrences. In contrast to secondary pneumomediastinum, SPM is usually a benign condition although life-threatening conditions can rarely arise. Differentiating between these two conditions has important prognostic indications. There is a paucity of prospectively collected data regarding SPM, and considerable variation in recommendations concerning the extent of workup.
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spelling doaj-art-9834136a32a24666ab0fd3d68cf952782025-02-03T05:50:12ZengWileyCase Reports in Medicine1687-96271687-96352010-01-01201010.1155/2010/927467927467Spontaneous Pneumomediastinum from Running SprintsJoseph W. Turban0Department of Surgery, The University of Hawaii John A. Burns School of Medicine, 651 Ilalo Street, 3rd Floor, MEB Honolulu, HI 96813, USASpontaneous pneumomediastinum (SPM) is a fairly rare condition, caused by increased intrathoracic pressure, leading to free air in the mediastinal structures. Underlying lung conditions are associated with increased incidence of SPM, including asthma, interstitial lung disease, pneumonia, bullous lung, and radiation therapy for lung cancer. It is often preceded by Valsalva maneuvers, vomiting, coughing, asthma exacerbation, sneezing, childbirth, or intense physical activity. A case of SPM is presented in a 15-year-old male, who complained of throat pain and dyspnea while running sprints at football practice. Workup revealed SPM, and he was subsequently admitted and treated conservatively. His symptoms resolved in 2 days and he was discharged and suffered no further recurrences. In contrast to secondary pneumomediastinum, SPM is usually a benign condition although life-threatening conditions can rarely arise. Differentiating between these two conditions has important prognostic indications. There is a paucity of prospectively collected data regarding SPM, and considerable variation in recommendations concerning the extent of workup.http://dx.doi.org/10.1155/2010/927467
spellingShingle Joseph W. Turban
Spontaneous Pneumomediastinum from Running Sprints
Case Reports in Medicine
title Spontaneous Pneumomediastinum from Running Sprints
title_full Spontaneous Pneumomediastinum from Running Sprints
title_fullStr Spontaneous Pneumomediastinum from Running Sprints
title_full_unstemmed Spontaneous Pneumomediastinum from Running Sprints
title_short Spontaneous Pneumomediastinum from Running Sprints
title_sort spontaneous pneumomediastinum from running sprints
url http://dx.doi.org/10.1155/2010/927467
work_keys_str_mv AT josephwturban spontaneouspneumomediastinumfromrunningsprints