Atypical presentation of spontaneous pneumomediastinum.

Ralph-Edwards, A C; Pearson, F G · Ann Thorac Surg · 1994

case_report · Level V

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Abstract

Spontaneous pneumomediastinum is a rare clinical entity; when diagnosis is certain, no treatment is required and symptoms rarely recur. The clinical presentation is usually diagnostic; however, atypical symptoms may mandate further investigation before diagnosis can be established. We describe 2 patients with spontaneous pneumomediastinum who presented with dominant esophageal symptoms (odynophagia and dysphagia) suggestive of esophageal perforation. Investigation and management are discussed.

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