Spontaneous pneumomediastinum, pneumopericardium and epidural pneumatosis: Insights on clinical management

Casey J. Allen; Laura F. Teisch; Kenneth Stahl

doi:10.3109/17482941.2015.1005103

Spontaneous pneumomediastinum, pneumopericardium and epidural pneumatosis: Insights on clinical management

Casey J. Allen, Laura F. Teisch, Kenneth Stahl

Surgery

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1 Scopus citations

Abstract

Spontaneous pneumomediastinum is a benign condition that has been reported, however the association with epidural pneumatosis is much less common. A 27-year-old male presented with concomitant air in the epidural space, mediastinum and pericardium after illicit drug use and engagement in sexual activity. The patient was hemodynamically stable. Non-invasive tests ruled out aerodigestive injury. The patient was discharged after a short observation without intervention. Invasive and potentially risky diagnostic tests may be safely avoided in patients who remain asymptomatic with this unique presentation.

Original language	English (US)
Pages (from-to)	20-23
Number of pages	4
Journal	Acute Cardiac Care
Volume	17
Issue number	1
DOIs	https://doi.org/10.3109/17482941.2015.1005103
State	Published - Mar 1 2015

Keywords

Epidural pneumatosis
Pneumopericardium
Spontaneous pneumomediastinum

ASJC Scopus subject areas

Cardiology and Cardiovascular Medicine
Radiology Nuclear Medicine and imaging
Emergency Medicine
Medicine(all)

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AB - Spontaneous pneumomediastinum is a benign condition that has been reported, however the association with epidural pneumatosis is much less common. A 27-year-old male presented with concomitant air in the epidural space, mediastinum and pericardium after illicit drug use and engagement in sexual activity. The patient was hemodynamically stable. Non-invasive tests ruled out aerodigestive injury. The patient was discharged after a short observation without intervention. Invasive and potentially risky diagnostic tests may be safely avoided in patients who remain asymptomatic with this unique presentation.

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Spontaneous pneumomediastinum, pneumopericardium and epidural pneumatosis: Insights on clinical management

Abstract

Keywords

ASJC Scopus subject areas

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