Spontaneous Pneumomediastinum in a Young Gentleman

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  • AHMAD SYAFIQ SOIB Department of Emergency and Trauma, Hospital Ampang, Jalan Mewah Utara, Ampang, 68000, Malaysia.
  • MOHD AZMANI SAHAR Faculty of Medicine and Health Sciences, Universiti Sains Islam Malaysia, Nilai, Bandar Baru Nilai, 71800, Malaysia.
  • SITI SORAYA AB RAHMAN Faculty of Medicine and Health Sciences, Universiti Sains Islam Malaysia, Nilai, Bandar Baru Nilai, 71800, Malaysia.
  • MUHAMMAD FATTAH FAZEL Institute of Medical Science Technology, Universiti Kuala Lumpur, Kuala Lumpur, 50250, Malaysia.




spontaneous pneumomediastinum, subcutaneous emphysema of neck


Spontaneous pneumomediastinum (SPM) is defined as presence of free air or gas in the mediastinum. It may occur in young healthy individuals without serious underlying lung disease. SPM is a rare presentation at the Emergency Department; it typically occurs among tall and thin individuals. We report a case of spontaneous pneumomediastinum in a gentleman who presented with a short history of chest and neck pain after coming back from work. Neck radiograph showed neck subcutaneous emphysema and chest radiograph showed pneumomediastinum with no evidence of pneumothorax or rib fracture.


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Mason, R., Broaddus, V. C., Martin, T., King, T., Schraufnagel, D., & Murray, J. (2005). Nadel’s textbook of respiratory medicine.

Caceres, M., Ali, S. Z., Braud, R., Weiman, D., & Garrett Jr, H. E. (2008). Spontaneous pneumomediastinum: a comparative study and review of the literature. The Annals of thoracic surgery, 86(3), 962-966. doi.org/10.1016/j.athoracsur.2008.04.067

Rakawi, A. F., Marwan, A. A., & Daut, U. N. (2020). Spontaneous Pneumothorax and Pneumomediastinum after a Trivial Injury: A Case Report. Malaysian Journal of Medicine and Health Sciences.

Zarogoulidis, P., Kioumis, I., Pitsiou, G., Porpodis, K., Lampaki, S., Papaiwannou, A., Katsikogiannis, N., Zaric, B., Branislav, P., Secen, N. and Dryllis, G., 2014. Pneumothorax: from definition to diagnosis and treatment. Journal of thoracic disease, 6(Suppl 4), p.S372. doi.org/10.3978/j.issn.2072-1439.2014.09.24

Alishlash, A. S., & Ibrahim, A. J. (2019). Spontaneous pneumomediastinum in children and adolescents. Waltham, MA: UpToDate, Post TW (Ed), UpToDate.

Chalumeau, M., Le Clainche, L., Sayeg, N., Sannier, N., Michel, J.L., Marianowski, R., Jouvet, P., Scheinmann, P. and de Blic, J., 2001. Spontaneous pneumomediastinum in children. Pediatric pulmonology, 31(1), pp.67-75. doi.org/10.1002/1099-0496(200101)31:1<67::AID-PPUL1009>3.0.CO;2-J

Zachariah, S., Gharahbaghian, L., Perera, P., & Joshi, N. (2015). Spontaneous pneumomediastinum on bedside ultrasound: case report and review of the literature. Western Journal of Emergency Medicine, 16(2), 321. doi.org/10.5811/westjem.2015.1.24514

Marasco, S. F., & Lim, H. K. (2007). Ecstasy-associated pneumomediastinum. The Annals of The Royal College of Surgeons of England, 89(4), 389-393. doi.org/10.1308/003588407X183373

Zylak, C. M., Standen, J. R., Barnes, G. R., & Zylak, C. J. (2000). Pneumomediastinum revisited. Radiographics, 20(4), 1043-1057. doi.org/10.1148/radiographics.20.4.g00jl131043

Pikhurko, O., Spencer, J., & Verbitsky, O. (2007). Decomposable graphs and definitions with no quantifier alternation. European Journal of Combinatorics, 28(8), 2264-2283. doi.org/10.1016/j.ejc.2007.04.016

Dekel, B., Paret, G., Szeinberg, A., Vardi, A., & Barzilay, Z. (1996). Spontaneous pneumomediastinum in children: clinical and natural history. European journal of pediatrics, 155(8), 695-697. doi.org/10.1007/BF01957155


DOI: 10.33102/mjosht.v8i.298
Published: 2022-09-21

How to Cite

SOIB, A. S., SAHAR, M. A., AB RAHMAN, S. S., & FAZEL, M. F. (2022). Spontaneous Pneumomediastinum in a Young Gentleman. Malaysian Journal of Science Health & Technology, 8, 31–33. https://doi.org/10.33102/mjosht.v8i.298