• Pediatric emergency care · Aug 2010

    Case Reports

    Spontaneous pneumomediastinum: a report of 2 cases.

    • Alexandr Rafailov and Jennifer H Chao.
    • Department of Emergency Medicine, SUNY Downstate Medical Center, 450 Clarkson Ave, PO Box 1228, Brooklyn, NY 11203, USA. alexerdoc@gmail.com
    • Pediatr Emerg Care. 2010 Aug 1;26(8):588-91.

    AbstractWe report 2 cases of spontaneous pneumomediastinum (SPM) with clinical presentations similar to pericarditis, including positional chest pain, tachycardia, a precordial rub, and electrocardiographic changes. Chest radiography is the most commonly used imaging modality for diagnosis, but the findings may be subtle. In select patients, a more extensive diagnostic approach is warranted. Spontaneous pneumomediastinum is self-limiting, and the risk of recurrence is negligible. These cases serve to illustrate the need to include spontaneous pneumomediastinum in the differential diagnosis of pericarditis.

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