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.
Ralph-Edwards
A C
AC
Division of Thoracic Surgery, University of Toronto, Ontario, Canada.
Pearson
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FG
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