Spontaneous pneumomediastinum and subcutaneous emphysema after masturbation

Rajic, Nikola; Schandl, Christian

doi:10.1016/j.radcr.2022.02.080

Cited by 1 publication

(2 citation statements)

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“…Spontaneous pneumomediastinum (SPM) is a rare clinical entity thought to occur in approximately 0.002% of the population, resulting in approximately 1 in 30,000 ED visits in the United States [1,2]. SPM tends to occur during activities that increase intrathoracic pressure, such as forceful coughing or vomiting, intense physical activity, childbirth, or performing the Valsalva maneuver [1][2][3]. This condition is usually seen in young males who experience an acute onset of chest pain, dyspnea, odynophagia, and/or voice changes [2,4].…”

Section: Introductionmentioning

confidence: 99%

“…This condition is usually seen in young males who experience an acute onset of chest pain, dyspnea, odynophagia, and/or voice changes [2,4]. Physical examination frequently reveals subcutaneous emphysema, hoarse voice, tachycardia, tachypnea, and occasionally a "Hamman's sign," which is a crunching sound heard on cardiac auscultation [1][2][3][4][5]. While patients with SPM typically fare well, the initial investigation should be extensive in order to rule out serious conditions such as esophageal rupture, i.e., Boerhaave syndrome, ruptured viscus, or blunt trauma [2].…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

A Case Report of Spontaneous Pneumomediastinum From an Unusual Cause: Baritone Practice

Meloy,

Bhambri,

Emeli

2023

Cureus

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Spontaneous pneumomediastinum (SPM) is a rare but potentially life-threatening clinical entity in which free air is introduced into the mediastinum. It most commonly presents in young males and has an incidence of approximately 0.002% of the general population. Symptoms include sudden onset chest pain, dyspnea, neck pain, vomiting, and odynophagia. Physical examination usually reveals subcutaneous emphysema, hoarse voice, tachycardia, tachypnea, and occasionally a Hamman's sign, which is a mediastinal "crunch" sound heard on cardiac auscultation. We present a case of an 18-year-old male baritone player who presented to the ED with chest pain and odynophagia shortly after waking up one morning. The patient's chest radiograph (CXR) revealed free air in the mediastinum with subcutaneous air tracking into the soft tissues of the neck and supraclavicular region. CT of the chest with contrast esophagram confirmed the diagnosis of primary SPM. The cause of his condition was likely due to barotrauma secondary to playing the baritone in his marching band. He had no evidence of esophageal injury or infectious process which further supports the diagnosis of primary SPM. After an extensive workup, the patient was discharged from the ED with instructions on rest, analgesia, and antitussives as needed. Evaluation of chest pain patients in the ED should include a CXR, in addition to other indicated tests, to rule out this potentially debilitating condition. Fortunately, though SPM is potentially life-threatening, most cases resolve spontaneously without surgical intervention.

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