Gökhan M. MUTLU, Tomasz J. KUZNIAR, Tyler MORK

Dysphonia and chest pain as presenting symptoms of pneumomediastinum

Spontane pnömomediastinum (SPM) seyrek görülen ve mediastinal boşluğa havanın herhangi bir travma veya medikal girişime bağlı olmadan girmesiyle karakterize ve genelde selim olarak bilinen bir durumdur. Burada disfoni ve göğüs ağrısı ana şikayetleri ile acil servise başvuran 25 yaşında bir kadın hastayı anlatıyoruz. Yapılan boyun grafisi ve göğüs bilgisayarlı tomografisi pnömomediastinumu gösterdi. Destekleyici tedavi ile hasta tamamen iyileşti. Bu olgu sunumunda, göğüs ağrısı ile konuşma sesindeki değişikliklerin bir arada bulunmasının ayırıcı tanısını ve SPMnin klinik tanısındaki rolünü tartıştık.

Disfoni ve göğüs ağrısı semptomları ile kendini gösteren pnömomediastinum olgusu

Spontaneous pneumomediastinum (SPM) is a rare but generally benign condition characterized by the presence of free air in the mediastinal space that is unrelated to trauma or medical procedure. We describe a case of a 25-years-old woman who presented to the emergency room with a chief complaint of dysphonia, and chest pain. An X-ray of the neck and computed tomography of the chest were performed and showed findings consistent with a pneumomediastinum. Supportive treatment led to an uneventful recovery. We discuss the differential diagnosis of the co-existing chest pain and dysphonia in the diagnosis of SPM.

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