Pneumomediastinum Complicating Diabetic Ketoacidosis and Boerhaave’s Syndrome
Author(s) -
Samer Alkhuja,
Natalya Gazizov,
Gervais Charles
Publication year - 2013
Publication title -
case reports in medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.2
H-Index - 20
eISSN - 1687-9627
pISSN - 1687-9635
DOI - 10.1155/2013/598720
Subject(s) - medicine , pneumomediastinum , diabetic ketoacidosis , thoracotomy , intubation , mediastinitis , surgery , tube (container) , anesthesia , complication , insulin , mechanical engineering , engineering
An 18-year-old man presented with altered mental status. He was found to have diabetic ketoacidosis. Chest X-ray showed pneumomediastinum. After intubation for air-way protection, an oral-gastric tube was placed. A chest computed tomography scan showed the tip of the oral-gastric tube to be in the right hemithorax. The patient underwent a thoracotomy and was managed in the intensive care unit. Both diabetic ketoacidosis and Boerhaave's syndrome should be considered as possible causes of pneumomediastinum in a patient with similar presentation. Boerhaave's syndrome should be ruled out prior to the insertion of an oral-gastric tube to avoid further morbidities.
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