Atypical presentation of spontaneous pneumomediastinum.
Spontaneous pneumomediastinum is a rare clinical entity; when diagnosis is certain, no treatment is required and symptoms rarely recur. The clinical presentation is usually diagnostic; however, atypical symptoms may mandate further investigation before diagnosis can be established. We describe 2 patients with spontaneous pneumomediastinum who presented with dominant esophageal symptoms (odynophagia and dysphagia) suggestive of esophageal perforation. Investigation and management are discussed.
Division of Thoracic Surgery, University of Toronto, Ontario, Canada.
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AC
Ralph-Edwards
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FG
Pearson
D000293:Adolescent; D000328:Adult; D004939:Esophageal Perforation / Q000175:diagnosis; D004947:Esophagus / Q000000981:diagnostic imaging; D006801:Humans; D008297:Male; D008478:Mediastinal Emphysema / Q000175:diagnosis*; D011859:Radiography