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Rare Association of Pneumomediastinum With Bilateral Pneumothorax

Noman Saleem1, Rabia Saleem2, Zara Saleem3

  • 1Department of Forensic Medicine, Sahiwal Medical College, Sahiwal, PAK.

Cureus
|January 25, 2021
PubMed

Insights

Pneumomediastinum with bilateral pneumothorax, a rare condition, can result from trauma. This case highlights conservative management for a young male following a road traffic accident.

Area of Science:

  • Thoracic Surgery
  • Trauma Surgery
  • Diagnostic Imaging

Background:

  • Pneumomediastinum with bilateral pneumothorax is a rare clinical entity.
  • It can stem from infections, malignancy, or trauma.
  • Trauma-related cases may involve esophageal, laryngeal, or tracheal injuries.

Observation:

  • A 16-year-old male presented with shortness of breath and chest bruising post-road traffic accident.
  • Initial chest X-ray suggested pneumomediastinum.
  • Bilateral chest tube thoracotomy was performed.

Findings:

  • Computed tomography (CT) of the chest confirmed pneumomediastinum and bilateral pneumothorax.
  • The patient's injuries were managed conservatively.
  • The patient was discharged after 10 days.

Implications:

  • This case underscores the importance of diagnostic imaging, like CT scans, in identifying pneumomediastinum and pneumothorax after trauma.
  • Conservative management can be a viable option for select patients.
  • Prompt diagnosis and appropriate intervention are crucial for favorable outcomes in traumatic thoracic injuries.

Keywords:
blunt thoracic traumapneumomediastinumpneumothorax

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