98%
921
2 minutes
20
Spontaneous pneumomediastinum (SPM) is a rare, self-limiting condition that can be complicated by pneumothorax, pneumopericardium, and subcutaneous emphysema. This case describes a 25-year-old man with a chronic marijuana use history who developed SPM after a recent respiratory infection. Imaging showed significant pneumomediastinum, pneumopericardium, and small pneumothoraces bilaterally. Despite these findings, he remained stable and was treated conservatively with oxygen supplementation, analgesics, and close monitoring. By day 6, his condition had nearly resolved, and he was safely discharged. This case emphasizes the importance of considering SPM in young patients with acute respiratory distress and reinforces the value of computed tomography scans in promptly diagnosing and managing the condition without invasive interventions.
Download full-text PDF |
Source |
---|---|
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC12391704 | PMC |
http://dx.doi.org/10.1177/23247096251367550 | DOI Listing |
J Investig Med High Impact Case Rep
August 2025
Department of Pulmonary and Critical Care, St Joseph's Regional Medical Center, Paterson, NJ, USA.
Spontaneous pneumomediastinum (SPM) is a rare, self-limiting condition that can be complicated by pneumothorax, pneumopericardium, and subcutaneous emphysema. This case describes a 25-year-old man with a chronic marijuana use history who developed SPM after a recent respiratory infection. Imaging showed significant pneumomediastinum, pneumopericardium, and small pneumothoraces bilaterally.
View Article and Find Full Text PDFCureus
August 2025
Department of Anesthesiology, Pain and Perioperative Medicine, Jackson Memorial Hospital, Miami, USA.
Pneumomediastinum, pneumopericardium, and pneumothorax are recognized but rare complications associated with endotracheal intubation and mechanical ventilation in the perioperative setting. The simultaneous occurrence of all three pathologies following intubation and intraoperative repositioning has not previously been described in the literature. This case report details the presentation and management of a 64-year-old male patient with metastatic prostate cancer undergoing thoracic decompression and fusion, who developed pneumomediastinum, pneumopericardium, and bilateral pneumothoraces following endotracheal intubation and repositioning.
View Article and Find Full Text PDFMediastinum
May 2025
Interventional Pulmonology, Division of Pulmonary, Critical Care, Sleep Medicine & Physiology, University of California San Diego, San Diego, CA, USA.
Background And Objective: Linear endobronchial ultrasound (EBUS) has become a key tool for diagnosing pulmonary diseases, offering high diagnostic yield for both malignant and non-malignant conditions. With its increased use, more complications are being reported. The objective of this narrative review is to discuss the complications associated with linear EBUS.
View Article and Find Full Text PDFHeartRhythm Case Rep
May 2025
Department of Cardiology, All India Institute of Medical Sciences, New Delhi, India.