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Ann Thorac Surg 1994;58:1758-1760
© 1994 The Society of Thoracic Surgeons

Articles

Atypical presentation of spontaneous pneumomediastinum

Anthony C. Ralph-Edwards, MD, F.Griffith Pearson, MD*

Division of Thoracic Surgery, University of Toronto, Toronto, Ontario, Canada

Accepted for publication April 19, 1994.

* Address reprint requests to Dr Pearson, Toronto Hospital (General Division) EN 10-233, 200 Elizabeth St, Toronto, Ont, Canada M5G 2C4.

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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