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Case Report

Pneumomediastinum and Bilateral Pneumothorax Following near Drowning in Shallow Water

by
Santhiya Govindaraj
and
Stalin Viswanathan
*
Pondicherry Institute of Medical Sciences, Kalapet, Pondicherry, India
*
Author to whom correspondence should be addressed.
Clin. Pract. 2011, 1(3), e70; https://doi.org/10.4081/cp.2011.e70
Submission received: 27 August 2011 / Revised: 27 August 2011 / Accepted: 19 September 2011 / Published: 3 October 2011

Abstract

We report pneumomediastinum, bilateral pneumothorax and acute respiratory distress syndrome in a victim of near drowning who was intoxicated and did not have thoracic or neck trauma. Chest radiograph revealed the above findings, later confirmed by computed tomography. He was in shock and also had gastrointestinal (GI) bleeding and renal dysfunction. With adequate resuscitative measures including fluids, blood transfusions, intercostal tube drainage and mechanical ventilation he made a complete recovery. Good prognostic indicators in near drowning patients include higher Glasgow Coma Scale, short submersion time and quick resuscitative measures even in the presence of serious cardiorespiratory or hemodynamic compromise.
Keywords: near drowning; pneumomediastinum; acute respiratory distress syndrome; complications near drowning; pneumomediastinum; acute respiratory distress syndrome; complications

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MDPI and ACS Style

Govindaraj, S.; Viswanathan, S. Pneumomediastinum and Bilateral Pneumothorax Following near Drowning in Shallow Water. Clin. Pract. 2011, 1, e70. https://doi.org/10.4081/cp.2011.e70

AMA Style

Govindaraj S, Viswanathan S. Pneumomediastinum and Bilateral Pneumothorax Following near Drowning in Shallow Water. Clinics and Practice. 2011; 1(3):e70. https://doi.org/10.4081/cp.2011.e70

Chicago/Turabian Style

Govindaraj, Santhiya, and Stalin Viswanathan. 2011. "Pneumomediastinum and Bilateral Pneumothorax Following near Drowning in Shallow Water" Clinics and Practice 1, no. 3: e70. https://doi.org/10.4081/cp.2011.e70

APA Style

Govindaraj, S., & Viswanathan, S. (2011). Pneumomediastinum and Bilateral Pneumothorax Following near Drowning in Shallow Water. Clinics and Practice, 1(3), e70. https://doi.org/10.4081/cp.2011.e70

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