Citation

Kornmann VN, van Ravesteyn LM, Reif HM, Sallevelt PE, Krol RM. BMJ Case Rep. 2015; 2015(ePub): ePub.

Affiliation

Department of Surgery, Slingeland Hospital Doetinchem, Doetinchem, The Netherlands.

Copyright

(Copyright © 2015, BMJ Publishing Group)

DOI

10.1136/bcr-2015-211459

PMID

26376701

Abstract

Pneumomediastinum is a rare condition, and mostly occurs following traumatic or iatrogenic tracheal and oesophageal perforation, but spontaneous pneumomediastinum has also been described. We report a case of a 17-year-old woman who presented with a penetrating neck wound after a fall down the stairs. She had an extensive pneumomediastinum without signs of tracheal or oesophageal laceration, rib fractures, pneumothorax or haematothorax. The contaminated wound was surgically explored and extensively lavaged. Prophylactic antibiotic treatment was given and the patient recovered without complications. Direct perforating trauma to the mediastinum is a severe entity, but can be treated by lavage and prophylactic antibiotic therapy.

Language: en