Clinical Manifestations of Spontaneous Pneumomediastinum.
10.5090/kjtcs.2016.49.4.287
- Author:
Soo Jin PARK
1
;
Ji Ye PARK
;
Joonho JUNG
;
Seong Yong PARK
Author Information
1. Department of Thoracic and Cardiovascular Surgery, Ajou University School of Medicine, Korea. psy1117@hanmail.net
- Publication Type:Original Article
- Keywords:
Spontaneous pneumomediastinum;
Mediastinal emphysema;
Outpatients
- MeSH:
Bronchoscopy;
Chest Pain;
Cough;
Emergency Service, Hospital;
Hospitalization;
Humans;
Length of Stay;
Male;
Mediastinal Emphysema*;
Outpatients;
Precipitating Factors;
Recurrence;
Retrospective Studies;
Thorax
- From:The Korean Journal of Thoracic and Cardiovascular Surgery
2016;49(4):287-291
- CountryRepublic of Korea
- Language:English
-
Abstract:
BACKGROUND: Spontaneous pneumomediastinum (SPM) is an uncommon disorder with only a few reported clinical studies. The goals of this study were to investigate the clinical manifestations and the natural course of SPM, as well as examine the current available treatment options for SPM. METHODS: We retrospectively reviewed 91 patients diagnosed with SPM between January 2008 and June 2015. RESULTS: The mean age of the patients was 22.7±13.2 years, and 67 (73.6%) were male. Chest pain (58, 37.2%) was the predominant symptom. The most frequent precipitating factor before developing SPM was a cough (15.4%), but the majority of patients (51, 56.0%) had no precipitating factors. Chest X-ray was diagnostic in 44 patients (48.4%), and chest computed tomography (CT) showed mediastinal air in all cases. Esophagography (10, 11.0%), esophagoduodenoscopy (1, 1.1%), and bronchoscopy (5, 5.5%) were performed selectively due to clinical suspicion, but no abnormal findings that implicated organ injury were documented. Twelve patients (13.2%) were discharged after a visit to the emergency room, and the others were admitted and received conservative treatment. The mean length of hospital stay was 3.0±1.6 days. There were no complications related to SPM except for recurrence in 2 patients (2.2%). CONCLUSION: SPM responds well to conservative treatment and follows a benign natural course. Hospitalization and aggressive treatment can be performed in selective cases.
