To cite: Harvey JP. BMJ Case Rep Published online: [please include Day Month Year] doi:10.1136/bcr-2015209920 DESCRIPTION A 46-year-old woman presented with severe upper abdominal pain and vomiting 12 h post-endoscopic retrograde cholangiopancreatography (ERCP) and sphincterotomy for choledocholithiasis. The patient also described a sensation of ‘crackling in the neck’ on head rotation. On exam...

A 17-year-old white female presented to the emergency department with chest pain 12 h after ingesting four pills of phentermine (Adipex®). She complained of retrosternal chest pain radiating into her neck with inspiration. Medical history was unremarkable, and she denied any other medications or illicit drug use. Vital signs were normal with 100% pulse oximetry. Physical examination revealed no...

Pneumomediastinum is termed spontaneous when not associated with traumatic injury or other recognizable pathological process. Occurrence of the malady following cocaine abuse has rarely been reported. We herein describe a 22-year-old male whowas a chronic user of large quantities of cocaine. Pneumomediastinum developed after smoking crack cocaine, and was diagnosed by chest radiograph and compu...

To cite: Patel RV, Kumar H, Patwardhan N, et al. BMJ Case Rep Published online: [please include Day Month Year] doi:10.1136/bcr-2013010447 DESCRIPTION A 4-month-old male infant developed respiratory distress, respiratory synchitial virus bronchiolitis with bilateral segmental collapse consolidation of upper zones requiring intraosseous vascular access with left tibial fracture, intubation and d...

Hamman (1939) first described postpartum pneumomediastinum in association with subcutaneous emphysema. This condition, also referred to as Hamman’s syndrome, is rare, with only about 200 cases reported worldwide [1], with an estimated incidence of 1 in 100,000 vaginal deliveries [2]. Despite its daunting presentation, the condition is usually minimal and the course is self-limiting [1]. Subcuta...

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 16-year-old boy vomited due to heatstroke during a soccer game but continued to train hard after the game. He was admitted to our hospital for chest discomfort three days later. Chest radiograph demonstrated pneumomediastinum, and computed tomography of the neck revealed emphysema within the spinal canal (Picture 1A) at cervical level 5 (Picture 1B, red arrows). Barium esophagography revealed...

Epidural pneumatosis and pneumomediastinum may occur after the inhalation of "Ecstasy" (methylenedioxymetamphetamine), but only one case has been reported in the literature. We report the case of a 21- year-old male patient who presented with epidural pneumatosis and pneumomediastinum. Chest CT demonstrated the pneumomediastinum and multiple air bubbles within the spinal canal.

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 includin...

Abstract Aim Pneumomediastinum is a known radiological finding after major trauma, however its significance and required investigative workup not standardized. Furthermore, there little evidence to suggest that traumatic pneumomediastinum indicative of oesophageal injury. Our study set out investigate the rate injury for these patients at our centre, relevant work up required. Method Medical re...