Case of pneumomediastinum due to alveolar rupture following endotracheal intubation

Sathiyaseelan, Sri Lakshmi; Narayanasamy, Senthil; Varadaraj, Priyadarshini

doi:10.1136/bcr-2018-227027

Cited by 4 publications

(4 citation statements)

References 3 publications

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“…Most cases of pneumomediastinum respond to conservative management and this is considered an acceptable practice although some patients may require management with low positive end-expiratory pressure ventilatory support [ 11 ]. Other supportive measures include analgesia, anti-anxiety medications, antitussives and supplemental oxygen support [ 12 ].…”

Section: Discussionmentioning

confidence: 99%

Spontaneously Resolving Pneumoperitoneum and Pneumomediastinum: A Report of Two Cases

Mahmood,

Zafar,

Berliti

et al. 2024

Cureus

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We present here an interesting case report of two patients with spontaneous pneumomediastinum and iatrogenic pneumoperitoneum. The patients were assessed and queried following a chest X-ray abnormality and query based on the history of recent urological procedures on a background of awaiting gastrooesophageal surgery at a tertiary centre respectively. Although these patients were successfully managed with the best supportive approach and periodic imaging review, it remains important to be aware that fatalities have been reported in the literature. We hope this case report will help those involved in the care of the patient to be aware of these conditions as differentials when history points towards episodes of coughing or recent surgical input.

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Section: Discussionmentioning

confidence: 99%

Spontaneously Resolving Pneumoperitoneum and Pneumomediastinum: A Report of Two Cases

Mahmood,

Zafar,

Berliti

et al. 2024

Cureus

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“…When there is an excess of fluid or blood in the alveoli, the pressure within the alveoli rises since oxygen cannot efficiently enter the circulation through the thickened alveolar walls. When the alveolar walls rupture due to excessive pressure, the result is PM [ 14 ]. Alveolar injury and rupture may also result from infiltrating inflammatory cells, such as macrophages and neutrophils, which may release toxic substances.…”

Section: Discussionmentioning

confidence: 99%

Pneumomediastinum: A case report of baclofen toxicity

Zari Meidani,

Rahmati,

Ghorbankhani

et al. 2023

International Journal of Surgery Case Reports

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“…Oesophageal perforation (Boerhaave syndrome) is associated with Mackler’s triad in upto 50% of patients (severe retrosternal chest pain, pneumomediastinum, mediastinitis)[ 3 ]. Whereas in cases of lung pathology this can be associated with pneumothorax and pleural effusion[ 4 ].…”

Section: Introductionmentioning

confidence: 99%

Mediastinal emphysema in the context of perforated gastric ulcer

Chowdhury

2024

World J Clin Cases

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In the context of mediastinal emphysema/pneumomediastinum, the main aetiologies are associated with oesophageal perforation, lung pathology or post head and neck surgery related. The main way to differentiate the pathologies would be through Computed Tomographic Imaging of the Thorax and abdomen with oral and intravenous contrast in the context of triple phase imaging. The causes of pneumomediastinum should be differentiated between traumatic and non-traumatic. Oesophageal perforation (Boerhaave syndrome) is associated with Mackler’s triad in upto 50% of patients (severe retrosternal chest pain, pneumomediastinum, mediastinitis). Whereas in cases of lung pathology this can be associated with pneumothorax and pleural effusion.

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Case of pneumomediastinum due to alveolar rupture following endotracheal intubation

Cited by 4 publications

References 3 publications

Spontaneously Resolving Pneumoperitoneum and Pneumomediastinum: A Report of Two Cases

Spontaneously Resolving Pneumoperitoneum and Pneumomediastinum: A Report of Two Cases

Pneumomediastinum: A case report of baclofen toxicity

Mediastinal emphysema in the context of perforated gastric ulcer

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