A Case of Pneumomediastinum and Parapneumonic Effusions Following Pharyngeal Perforation Caused by Shouting

作者：Kim Sei Won; Kang Hyeon Hui; Kang Ji Young; Kim Sung Kyoung; Lee Bae Young; Lee Sang Haak^*; Moon Hwa Sik

来源：Yonsei Medical Journal, 2014, 55(1): 270-272.

DOI：10.3349/ymj.2014.55.1.270

• Pneumomediastinum
• pharyngeal perforation
• mediastinitis
• parapneumonic effusions

Spontaneous pneumomodiastinum is an uncommon disorder, and usually affects young men and has a benign course. Common triggers are asthma, the smoking of illicit drugs, the Valsalva maneuver, and respiratory infections. Most cases are usually due to alveolar rupture into the pulmonary interstitium caused by excess pressure. The air dissects to the hilum along the peribronchovascular sheaths and spreads into the mediastinum. However, pneumomediastinum following pharyngeal perforation is very rare, and has only been reported in relation to dental procedures, head and neck surgery, or trauma. We report a case of pneumomediastinum that developed in a 43-year-old patient with pharyngeal perforation after shouting. His course was complicated by mediastinitis and parapneumonic effusions.

• 出版日期2014-1-1