Cough induced pneumomediastinum due to tracheal tear

K. Devaraja, Dipak Ranjan Nayak, Poonam Ashok Kamath

Research output: Contribution to journalArticle

Abstract

Spontaneous pneumomediastinum associated with subcutaneous emphysema following a sudden bout of cough is rare. Most of such pneumomediastinum would be associated with pneumothorax and would be a result of the ruptured pulmonary alveolus. Here, authors report a case of a 20-year-old male who developed swelling of neck and chest tightness following a sudden bout of cough. On examination, he was haemodynamically stable but had diffuse subcutaneous emphysema involving the neck and the upper chest. Radiology revealed pneumomediastinum without any pneumothorax. Authors think that the tracheal tear is the probable cause of air leak into soft tissue of the neck and the mediastinum. The patient was managed conservatively by close monitoring and supportive care. In patients with no prior underlying chest disease, and in those with no progressive respiratory distress, conservative treatment with cautious observation can successfully resolve this condition. This is a unique report, which attributes spontaneous pneumomediastinum without pneumothorax to the breach in the trachea.

Original languageEnglish
JournalJournal of Clinical and Diagnostic Research
Volume12
Issue number11
DOIs
Publication statusPublished - 01-11-2018

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Mediastinal Emphysema
Radiology
Tears
Cough
Swelling
Pneumothorax
Tissue
Subcutaneous Emphysema
Neck
Thorax
Monitoring
Air
Pulmonary Alveoli
Mediastinum
Trachea
Observation

All Science Journal Classification (ASJC) codes

  • Clinical Biochemistry

Cite this

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Cough induced pneumomediastinum due to tracheal tear. / Devaraja, K.; Nayak, Dipak Ranjan; Kamath, Poonam Ashok.

In: Journal of Clinical and Diagnostic Research, Vol. 12, No. 11, 01.11.2018.

Research output: Contribution to journalArticle

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AU - Devaraja, K.

AU - Nayak, Dipak Ranjan

AU - Kamath, Poonam Ashok

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AB - Spontaneous pneumomediastinum associated with subcutaneous emphysema following a sudden bout of cough is rare. Most of such pneumomediastinum would be associated with pneumothorax and would be a result of the ruptured pulmonary alveolus. Here, authors report a case of a 20-year-old male who developed swelling of neck and chest tightness following a sudden bout of cough. On examination, he was haemodynamically stable but had diffuse subcutaneous emphysema involving the neck and the upper chest. Radiology revealed pneumomediastinum without any pneumothorax. Authors think that the tracheal tear is the probable cause of air leak into soft tissue of the neck and the mediastinum. The patient was managed conservatively by close monitoring and supportive care. In patients with no prior underlying chest disease, and in those with no progressive respiratory distress, conservative treatment with cautious observation can successfully resolve this condition. This is a unique report, which attributes spontaneous pneumomediastinum without pneumothorax to the breach in the trachea.

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