Next Article in Journal
Unintentional Childhood Injuries in Urban and Rural Ujjain, India: A Community-Based Survey
Previous Article in Journal
Pediatric Palliative Care in Infants and Neonates
Article Menu
Issue 2 (February) cover image

Export Article

Open AccessCase Report
Children 2018, 5(2), 22; https://doi.org/10.3390/children5020022

A Case of Spontaneous Pneumomediastinum with Subcutaneous Emphysema in Children

Maternal and Paediatric Critical Care Unit, Hassan II University Hospital, 1835 Fez, Morocco
*
Author to whom correspondence should be addressed.
Received: 18 November 2017 / Revised: 13 January 2018 / Accepted: 30 January 2018 / Published: 7 February 2018
View Full-Text   |   Download PDF [1946 KB, uploaded 7 February 2018]   |  

Abstract

Spontaneous pneumomediastinum is defined as free air or gas contained within the mediastinum, which almost invariably originates from the alveolar space or the conducting airways. It is rare in pediatric patients; however, occasional cases are reported to result from forced Valsalva’s maneuver due to cough, emesis, a first attack of wheeze, or asthma exacerbations. We report the case of a 7-year-old previously healthy girl, with a history of persistent dry cough one day before, who was brought to our unit with face, neck and chest swelling. The chest X-ray and computed tomography (CT) scan showed subcutaneous emphysema with pneumomediastinum and pneumopericardium without evidence of the origin of this air leak. Laboratory tests and the bronchoscopy were normal. The patient was admitted in the pediatric critical care and received noninvasive monitoring, analgesia, oxygen, and omeprazole as a prophylaxis for a gastric ulcer. The patient improved, subcutaneous emphysema resolved, and she was discharged on the third day. View Full-Text
Keywords: emphysema; pneumomediastinum; pneumopericardium; Valsalva’s maneuver emphysema; pneumomediastinum; pneumopericardium; Valsalva’s maneuver
Figures

Figure 1

This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. (CC BY 4.0).
SciFeed

Share & Cite This Article

MDPI and ACS Style

Benlamkaddem, S.; Berdai, M.A.; Labib, S.; Harandou, M. A Case of Spontaneous Pneumomediastinum with Subcutaneous Emphysema in Children. Children 2018, 5, 22.

Show more citation formats Show less citations formats

Note that from the first issue of 2016, MDPI journals use article numbers instead of page numbers. See further details here.

Related Articles

Article Metrics

Article Access Statistics

1

Comments

[Return to top]
Children EISSN 2227-9067 Published by MDPI AG, Basel, Switzerland RSS E-Mail Table of Contents Alert
Back to Top