TY  - JOUR
PY  - 2015//
TI  - Unique case of pneumomediastinum due to penetrating injury to the mediastinum
JO  - BMJ case reports
A1  - Kornmann, Verena N. N.
A1  - van Ravesteyn, Leontien M.
A1  - Reif, Hansjörg M.
A1  - Sallevelt, Peter E. J. M.
A1  - Krol, Ruby M.
SP  - ePub
EP  - ePub
VL  - 2015
IS  - ePub
N2  - Pneumomediastinum is a rare condition, and mostly occurs following traumatic or iatrogenic tracheal and oesophageal perforation, but spontaneous pneumomediastinum has also been described. We report a case of a 17-year-old woman who presented with a penetrating neck wound after a fall down the stairs. She had an extensive pneumomediastinum without signs of tracheal or oesophageal laceration, rib fractures, pneumothorax or haematothorax. The contaminated wound was surgically explored and extensively lavaged. Prophylactic antibiotic treatment was given and the patient recovered without complications. Direct perforating trauma to the mediastinum is a severe entity, but can be treated by lavage and prophylactic antibiotic therapy.<p /> <p>Language: en</p>
LA  - en
SN  - 1757-790X
UR  - http://dx.doi.org/10.1136/bcr-2015-211459
ID  - ref1
ER  -