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Ann Thorac Surg 2004;78:711-713
© 2004 The Society of Thoracic Surgeons

Case Report

Spontaneous pneumomediastinum

Thomas E. Langwieler, MDa*, Katharina D. Steffani, MDa, Dean P. Bogoevski, MDa, Oliver Mann, MDa, Jakob R. Izbicki, MD, PhDa

a Department of Surgery, University Hospital Hamburg- Eppendorf, Hamburg, Germany

Accepted for publication September 4, 2003.

* Address reprint requests to Dr Langwieler, Department of Surgery, University Hospital Hamburg-Eppendorf, Martinistr. 52, D-20246 Hamburg, Germany
e-mail: langwieler{at}uke.uni-hamburg.de

Pneumomediastinum is the presence of air in the mediastinum. Spontaneous pneumomediastinum (SPM) is an infrequent, benign, and self-limiting condition that predominantly affects young males and pregnant females. It is important to distinguish pneumomediastinum symptoms from similar clinical findings that require immediate treatment, such as cardiac tamponade, angina pectoris, dissecting aortic aneurysm, mediastinitis, and pulmonary embolism. This report describes 2 cases of SPM managed at University Hospital Hamburg-Eppendorf during the period 2000 to 2001. Spontaneous pneumomediastinum should be considered whenever there are anamnestic data for retrosternal chest pain that radiates to the neck or back accompanied by dysphagia, dysphonia, dyspnea, and a positive Hamman's sign.




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