Pneumomediastinum Mistaken as Angioedema: Case Report

Pneumomediastinum and massive subcutaneous emphysema are clinical conditions that can occur during head and neck surgeries, bronchoscopy and tracheostomy, after thoracic trauma, rarely during dental procedures and sometimes spontaneously. Patients often present with symptoms...

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Main Author: Yusuf Kantar
Format: Article
Language:English
Published: Hitit University 2024-10-01
Series:Hitit Medical Journal
Online Access:https://dergipark.org.tr/tr/doi/10.52827/hititmedj.1479321
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author Yusuf Kantar
author_facet Yusuf Kantar
author_sort Yusuf Kantar
collection DOAJ
description Pneumomediastinum and massive subcutaneous emphysema are clinical conditions that can occur during head and neck surgeries, bronchoscopy and tracheostomy, after thoracic trauma, rarely during dental procedures and sometimes spontaneously. Patients often present with symptoms such as swelling of the face, neck and sometimes the whole body, difficulty swallowing, shortness of breath, chest pain and skin crepitus. These findings usually develop suddenly and sometimes may occur within hours or days. A 48-year-old man is applies to the hospital with complaint chest pain due to a fall in the garden. If no pathology is thought to be present as a result of the X-ray, the patient is prescribed ibuprofen for pain relief and discharged. Patient who presents with what appears to be angioedema after taking ibuprofen is found to have pneumomediastinum. In the cases mentioned in the report and initially thought to be angioedema, seeing that the lips are not swollen and feeling subcutaneous crepitation, i.e. even just inspecting and palpating the patient, will distract the clinician from angioedema in a few seconds and direct him/her to the correct diagnosis and perform examinations in the direction of pneumomediastinum.
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spelling doaj-art-e9899c5e04c14ad691b3a09b05d5edac2025-08-20T02:36:23ZengHitit UniversityHitit Medical Journal2687-47172024-10-016339139510.52827/hititmedj.1479321 Pneumomediastinum Mistaken as Angioedema: Case Report Yusuf Kantar0https://orcid.org/0000-0001-8358-5312Erzincan Binali Yıldırım Üniversitesi Tıp Fakültesi Pneumomediastinum and massive subcutaneous emphysema are clinical conditions that can occur during head and neck surgeries, bronchoscopy and tracheostomy, after thoracic trauma, rarely during dental procedures and sometimes spontaneously. Patients often present with symptoms such as swelling of the face, neck and sometimes the whole body, difficulty swallowing, shortness of breath, chest pain and skin crepitus. These findings usually develop suddenly and sometimes may occur within hours or days. A 48-year-old man is applies to the hospital with complaint chest pain due to a fall in the garden. If no pathology is thought to be present as a result of the X-ray, the patient is prescribed ibuprofen for pain relief and discharged. Patient who presents with what appears to be angioedema after taking ibuprofen is found to have pneumomediastinum. In the cases mentioned in the report and initially thought to be angioedema, seeing that the lips are not swollen and feeling subcutaneous crepitation, i.e. even just inspecting and palpating the patient, will distract the clinician from angioedema in a few seconds and direct him/her to the correct diagnosis and perform examinations in the direction of pneumomediastinum.https://dergipark.org.tr/tr/doi/10.52827/hititmedj.1479321
spellingShingle Yusuf Kantar
Pneumomediastinum Mistaken as Angioedema: Case Report
Hitit Medical Journal
title Pneumomediastinum Mistaken as Angioedema: Case Report
title_full Pneumomediastinum Mistaken as Angioedema: Case Report
title_fullStr Pneumomediastinum Mistaken as Angioedema: Case Report
title_full_unstemmed Pneumomediastinum Mistaken as Angioedema: Case Report
title_short Pneumomediastinum Mistaken as Angioedema: Case Report
title_sort pneumomediastinum mistaken as angioedema case report
url https://dergipark.org.tr/tr/doi/10.52827/hititmedj.1479321
work_keys_str_mv AT yusufkantar pneumomediastinummistakenasangioedemacasereport