Vomiting Induced Pneumomediastinum: A Case Report of a Rare Condition

Authors

  • Mohamed Saad Saumtally University of Sfax, Faculty of Medicine of Sfax, Habib Bourguiba Hospital, Surgery Department, Sfax, Tunisia
  • Abderrahmen Masmoudi University of Sfax, Faculty of Medicine of Sfax, Habib Bourguiba Hospital, Surgery Department, Sfax, Tunisia https://orcid.org/0000-0001-5535-4576
  • Amine Zouari University of Sfax, Faculty of Medicine of Sfax, Habib Bourguiba Hospital, Surgery Department, Sfax, Tunisia
  • Skander Talbi University of Sfax, Faculty of Medicine of Sfax, Habib Bourguiba Hospital, Surgery Department, Sfax, Tunisia
  • Houssem Harbi University of Sfax, Faculty of Medicine of Sfax, Habib Bourguiba Hospital, Surgery Department, Sfax, Tunisia
  • Salah Boujelben University of Sfax, Faculty of Medicine of Sfax, Habib Bourguiba Hospital, Surgery Department, Sfax, Tunisia

Abstract

Pneumomediastinum is a condition characterized by the presence of free air in the mediastinum and is often a worrisome finding. It can occur spontaneously without any identifiable cause or it can be secondary to a rupture of a hollow organ or due to trauma. Clinical diagnosis is based on symptoms including; chest pain, subcutaneous emphysema, and dyspnea. The diagnosis is confirmed by radiography. On differential diagnosis, esophageal perforation should be considered first, and if suspected, a contrast esophagogram or CT scan should be performed. We present a case of spontaneous pneumomediastinum in a 20-year-old Tunisian male induced by vomiting without esophageal perforation or airway injury.

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Published

2022-06-05

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