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

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

Research output: Contribution to journalArticle

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 languageEnglish (US)
Pages (from-to)20-23
Number of pages4
JournalAcute Cardiac Care
Volume17
Issue number1
DOIs
StatePublished - Mar 1 2015

Fingerprint

Pneumopericardium
Mediastinal Emphysema
Epidural Space
Pericardium
Mediastinum
Street Drugs
Routine Diagnostic Tests
Sexual Behavior
Air
Observation
Wounds and Injuries

Keywords

  • Epidural pneumatosis
  • Pneumopericardium
  • Spontaneous pneumomediastinum

ASJC Scopus subject areas

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

Cite this

Spontaneous pneumomediastinum, pneumopericardium and epidural pneumatosis : Insights on clinical management. / Allen, Casey J.; Teisch, Laura F.; Stahl, Kenneth.

In: Acute Cardiac Care, Vol. 17, No. 1, 01.03.2015, p. 20-23.

Research output: Contribution to journalArticle

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