We report a rare case of spontaneous pneumomediastinum due to perforation of sigmoid cancer in a patient suffering from Vogt-Koyanagi-Harada syndrome and temporal arteritis, two rare diseases. This patient, who generally receives corticosteroid and methotrexate therapy, was admitted to hospital with vague abdominal and left flank pain, urinary disorders and low grade fever one day prior to admi...

Spontaneous pneumomediastinum is a benign, self-limited condition that mainly affects young people. In this report, we present four cases of this uncommon condition and a review of the current literature. Two cases had no prior significant medical history: one had a history of asthma and the other underwent regular outpatient treatment for anorexia nervosa. The three patients who were not anore...

An 18-year-old male with type 1 diabetes mellitus presented to the emergency department after one day of lethargy and vomiting. Physical examination revealed a dehydrated male with tachycardia and Kussmaul's respiration. There was subcutaneous emphysema in both supraclavicular regions. Chest auscultation revealed a positive Hamman's sign. Laboratory investigation was significant for metabolic a...

To cite: Kelham MD, Nghiem AZ, Goundry AL. BMJ Case Rep Published online: [please include Day Month Year] doi:10.1136/ bcr-2014-208005 DESCRIPTION A 24-year-old woman presented with a 1-day history of neck tightness following a 10-day history of cough and left-sided chest pain. Her CT is shown in figure 1, which reveals a pneumomediastinum, pneumothorax of the left lung and extensive subcutaneo...

A young, previously well primigravida presented a few hours after a short labour with sudden onset chest pain, shortness of breath and odynophagia. She had subcutaneous emphysema but did not have significant cardiorespiratory compromise. She was found to have a spontaneous pneumomediastinum, likely secondary to raised intrathoracic pressure during labour. Similar cases have been reported previo...

Abstract Subcutaneous emphysema is a common entity following facial trauma. However, pneumomediastinum secondary to isolated fractures rare and potentially life-threatening complication. We present case of 26-year-old female that presented with sudden onset left sided swelling over the periorbital zygomaticomaxillary region some bruising overlying maxilla. In addition palpable crepitus was temp...

Spontaneous pneumomediastinum is a rare condition for which potentially life threatening differential diagnoses must be excluded. A case is presented of a young man with a history of severe childhood asthma, who was successfully treated conservatively.

Numerous causes of pneumothorax, pneumomediastinum, and pneumopericardium have been described in the literature. The authors report a unique case in which one or more causes may have contributed to the patient's condition.