title: Dysphonia and chest pain as presenting symptoms of pneumomediastinum.
abstract: Spontaneous pneumomediastinum (SPM) is a rare but generally benign condition characterized by the presence of free air in the mediastinal space that is unrelated to trauma or medical procedure. We describe a case of a 25-year-old woman who presented to the emergency room with a chief complaint of dysphonia, and chest pain. An X-ray of the neck and CT of the chest were performed and showed findings consistent with a pneumomediastinum. Supportive treatment led to an uneventful recovery. We discuss the differential diagnosis of the coexisting chest pain and dysphonia in the diagnosis of SPM.
authors.affiliation: Department of Medicine, Northshore University Healthsystem, 2650 Ridge Avenue, Evanston, IL 60201, USA.
authors.forename: Tyler
authors.initials: T
authors.lastname: Mork
authors.forename: Gökhan M
authors.initials: GM
authors.lastname: Mutlu
authors.forename: Tomasz J
authors.initials: TJ
authors.lastname: Kuzniar
mesh_terms: D000328:Adult; D002637:Chest Pain / Q000175:diagnosis / Q000000981:diagnostic imaging; D003937:Diagnosis, Differential; D055154:Dysphonia / Q000175:diagnosis / Q000000981:diagnostic imaging; D005260:Female; D006801:Humans; D008478:Mediastinal Emphysema / Q000175:diagnosis* / Q000000981:diagnostic imaging; D014057:Tomography, X-Ray Computed