A Clinical Study of Eight Children With Spontaneous Pneumomediastinum
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- Furuta Shigeyuki
- Division of Pediatric Surgery, St. Marianna University Yokohama Seibu Hospital:Division of Pediatric Surgery, St. Marianna University School of Medicine
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- Wakisaka Munechika
- Division of Pediatric Surgery, St. Marianna University School of Medicine
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- Kawase Hirokazu
- Division of Pediatric Surgery, St. Marianna University School of Medicine
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- Shima Hideki
- Division of Pediatric Surgery, St. Marianna University School of Medicine
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- Satoh Hideaki
- Division of Pediatric Surgery, St. Marianna University Yokohama Seibu Hospital
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- Hamano Shiho
- Division of Pediatric Surgery, St. Marianna University School of Medicine
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- Nagae Hideki
- Division of Pediatric Surgery, St. Marianna University School of Medicine
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- Aoba Takeshi
- Division of Pediatric Surgery, St. Marianna University School of Medicine
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- Kitagawa Hiroaki
- Division of Pediatric Surgery, St. Marianna University School of Medicine
Bibliographic Information
- Other Title
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- 小児特発性縦隔気腫8例の臨床的検討
- ショウニ トクハツセイ ジュウカクキシュ 8レイ ノ リンショウテキ ケントウ
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Description
Purpose: Spontaneous pneumomediasinum (SPM) is a rare disease entity. Those children suffering from SPM always complain of chest pain and discomfort, and their x-ray images demonstrate emphysematous change in the upper mediastinum without any causal lesions. We retrospectively examined the details of clinical presentation in SPM children treated at our institution to devise a guideline for the most appropriate management of these patients. Methods: We reviewed the hospital records of children admitted with diagnosed SPM to determine the clinical presentation of individual patients, and to review the treatment strategy. Results: The children's ages ranged from 13 to 16 years (mean: 15 years), and comprised 7 boys and one girl. Three of the 8 SPM children developed their symptoms spontaneously; however, symptoms developed in the remaining 5 patients were observed after they had shouted loudly during sports activity. The symptoms included pain in the neck (3 cases), throat (2) or chest (6), discomfort (2), and dysphagia (1). Subcutaneous emphysema was observed in 4 children. While pneumomediastinum was observed on plain radiographs in 6 (75%) of the 8 children, computed tomography revealed pneumomediastinum in all children, thus confirming the diagnosis. Esophagography was performed in 7 of the 8 children to rule out esophageal injuries. The mean length of hospital stay was 5 days, and all children achieved remission with conservative therapy without any episode of recurrence. Conclusions: Spontaneous pneumomediasinum is rare. It can be diagnosed by clinical symptoms and imaging. It is vital to differentiate SPM from tension pneumomediastinum or serious mediastinal emphysema associated with esophageal perforation. Diagnosed SPM patients should definitely be managed accordingly with no active medical treatment.
Journal
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- Journal of the Japanese Society of Pediatric Surgeons
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Journal of the Japanese Society of Pediatric Surgeons 48 (4), 722-726, 2012
The Japanese Society of Pediatric Surgeons
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Keywords
Details 詳細情報について
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- CRID
- 1390282679808119168
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- NII Article ID
- 110009470925
- 10031084901
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- NII Book ID
- AN00192281
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- ISSN
- 21874247
- 0288609X
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- NDL BIB ID
- 023864601
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- Text Lang
- ja
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- Data Source
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- JaLC
- NDL
- CiNii Articles
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- Abstract License Flag
- Disallowed