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Disorders of the Mediastinum: Student/Resident Case Report Poster - Disorders of the Mediastinum |

Spontaneous Pneumomediastinum From Sustained Valsalva

Aritra Sen, MD; Pratik Doshi, MD; Bela Patel, MD
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UT Health Science Center, Houston, TX


Copyright 2016, American College of Chest Physicians. All Rights Reserved.


Chest. 2016;150(4_S):550A. doi:10.1016/j.chest.2016.08.638
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SESSION TITLE: Student/Resident Case Report Poster - Disorders of the Mediastinum

SESSION TYPE: Student/Resident Case Report Poster

PRESENTED ON: Tuesday, October 25, 2016 at 01:30 PM - 02:30 PM

INTRODUCTION: This case discusses the physiology of pneumomediastinum secondary to sustained valsalva and correct management.

CASE PRESENTATION: Twenty year old Hispanic male presented for one day history of nausea, fatigue and chest pain. The patient reports daily marijuana use for recreation. The day prior to admission, he smoked 11 grams which initiated several instances of nonbloody and nonbilious vomiting. He reported sharp and retrosternal chest pain not worsened with exertion. A few hours after being admitted, his chest pain and nausea had subsided. X-rays and CT scans showed air within the mediastinum as well as air in the subcutaneous chest wall. The patient did not require subsequent oxygen support or pain control. He was discharged the next day from the hospital with outpatient followup and extensive counseling on drug abuse.

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