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CASE REPORT   

Minerva Respiratory Medicine 2022 June;61(2):80-2

DOI: 10.23736/S2784-8477.21.01950-1

Copyright © 2021 EDIZIONI MINERVA MEDICA

language: English

Concomitant pneumomediastinum and pneumoneck due to self-induced vomiting: cues from a case

Alberto CARANTI , Stefano SAVINI, Anna BONSEMBIANTE, Chiara BIANCHINI, Andrea CIORBA, Stefano PELUCCHI

Department of Otorhinolaryngology and Audiology, University of Study of Ferrara, Ferrara, Italy



Pneumomediastinum and pneumoneck occur at times in combination; moreover, in the present case, it is likely that they also occurred spontaneously, possibly due to a Macklin effect, configuring a more infrequent event. A rare case of concomitant spontaneous pneumomediastinum and pneumoneck, occurred after self-induced vomiting as self-medication is presented. Why should an emergency physician be aware of this? Pneumomediastinum and pneumoneck always necessitate of a careful evaluation and clinical surveillance, either in order to exclude injuries of the aerodigestive tract, either to prevent and avoid a deterioration of the clinical picture. In case no specific aetiologies can be identified, a spontaneous event should be considered.


KEY WORDS: Diagnostic pneumomediastinum; Operative surgical procedures; Neck

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