title: Unusual presentation of spontaneous pneumomediastinum: a case report.
abstract: The diagnosis of spontaneous pneumomediastinum in an acute hospital setting can present as a challenge. We present a case of 32 year Caucasian male with gradual swelling of his face and neck with increasing hoarseness of voice. He was treated for anaphylaxis with little improvement. He underwent a video-assisted thoracoscopic surgery procedure (VATS) with a definite diagnosis of sub pleural bleb.
authors.affiliation: Specialty Registrar, Emergency Admissions Unit, Lincoln County Hospital, Lincoln, UK. drsheharyarasif@gmail.com.
authors.forename: Sheharyar Asif
authors.initials: SA
authors.lastname: Qureshi
authors.forename: Andrew
authors.initials: A
authors.lastname: Tilyard