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The Annals of Thoracic Surgery, Vol 58, 1758-1760, Copyright © 1994 by The Society of Thoracic Surgeons

ARTICLES

Atypical presentation of spontaneous pneumomediastinum

AC Ralph-Edwards and FG Pearson
Division of Thoracic Surgery, University of Toronto, Ontario, Canada.

Spontaneous pneumomediastinum is a rare clinical entity; when diagnosis is certain, no treatment is required and symptoms rarely recur. The clinical presentation is usually diagnostic; however, atypical symptoms may mandate further investigation before diagnosis can be established. We describe 2 patients with spontaneous pneumomediastinum who presented with dominant esophageal symptoms (odynophagia and dysphagia) suggestive of esophageal perforation. Investigation and management are discussed.


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