Asian Journal of Case Reports in Surgery

Spontaneous Pneumomediastinum an Elusive Condition for Surgeons: A Case Study

W. J. Wan Izzah *

Department of Surgery, Hospital Sultanah Nora Ismail, Batu Pahat, Johor, Malaysia.

Z. Hazwan

Department of Surgery, Hospital Sultanah Nora Ismail, Batu Pahat, Johor, Malaysia.

I. Ismayudin

Department of Surgery, Hospital Sultanah Nora Ismail, Batu Pahat, Johor, Malaysia.

T. Vethunan

Department of Surgery, Hospital Sultanah Nora Ismail, Batu Pahat, Johor, Malaysia.

S. Khairuzi

Department of Surgery, Hospital Sultanah Nora Ismail, Batu Pahat, Johor, Malaysia.

A. K. Siti Baizura

Department of Radiology, Hospital Sultanah Nora Ismail, Batu Pahat, Johor, Malaysia.

*Author to whom correspondence should be addressed.

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Abstract

Pneumomediastinum is defined as the presence of free air in the mediastinum. It may appear sinister to some surgeons and any medical practitioner because it can be fatal if the underlying cause and complications are not addressed. Other possible causes must be investigated and identified, as secondary pneumomediastinum can have disastrous consequences if not treated. On the other hand, spontaneous pneumomediastinum is usually harmless and is treated conservatively most of the time. We present a case of spontaneous pneumomediastinum in a 15-year-old teenager who was admitted for bronchial asthma exacerbation and presented with shortness of breath, chest tightness and wheezing.

Keywords: Asthma, pneumomediastinum, lung parenchyma

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