Tension pneumomediastinum after severe vomiting in a 21-year-old female | Zendy

Sabine Gabor | Zendy; H. Renner | Zendy; Andrea B. Maier | Zendy; F.-M. Jüttner | Zendy

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Tension pneumomediastinum after severe vomiting in a 21-year-old female

Author(s) -

Sabine Gabor,

H. Renner,

Andrea B. Maier,

F.-M. Jüttner

Publication year - 2005

Publication title -

european journal of cardio-thoracic surgery

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 1.303

H-Index - 133

eISSN - 1873-734X

pISSN - 1010-7940

DOI - 10.1016/j.ejcts.2005.05.015

Subject(s) - medicine , pneumomediastinum , tachypnea , vomiting , tachycardia , anesthesia , mediastinal emphysema , surgery , subcutaneous emphysema , radiology , pneumothorax

A 21-year-old female with chronic membranoproliferative nephritis was admitted for suspected esophageal disruption and asthma after severe, prolonged vomiting. At the time of admission she presented with dyspnea, tachypnea, arterial hypotension and tachycardia. Physical examination showed discrete signs of ectopic air at the neck and distended cervical veins. CT-scan of the chest showed severe mediastinal emphysema with compression of the right atrium. After cervical mediastinotomy the cardiorespiratory parameters normalized immediately. Esophagoscopy showed multiple longitudinal mucosal tears between 25 and 45 cm; fluoroscopically, there was no leakage of contrast medium. Following conservative treatment the patient recovered completely and was discharged on day 8.

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