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Gabor, SE; Renner, H; Maier, A; Smolle Jüttner, FM.
Tension pneumomediastinum after severe vomiting in a 21-year-old female.
EUR J CARDIO-THORAC SURG. 2005; 28(3): 502-503. Doi: 10.1016/j.ejcts.2005.05.015 (- Case Report) [OPEN ACCESS]
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Führende Autor*innen der Med Uni Graz
Gabor Sabine
Co-Autor*innen der Med Uni Graz
Maier Alfred
Renner Heiko
Smolle-Juettner Freyja-Maria
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Abstract:
A 21-year-old female with chronic membranoproliferative nephritis was admitted for suspected esophageal disruption and asthma after severe, prolonged vomiting. At the time of admission she presented with dyspnea, tachypnea, arterial hypotension and tachycardia. Physical examination showed discrete signs of ectopic air at the neck and distended cervical veins. CT-scan of the chest showed severe mediastinal emphysema with compression of the right atrium. After cervical mediastinotomy the cardiorespiratory parameters normalized immediately. Esophagoscopy showed multiple longitudinal mucosal tears between 25 and 45 cm; fluoroscopically, there was no leakage of contrast medium. Following conservative treatment the patient recovered completely and was discharged on day 8.
Find related publications in this database (using NLM MeSH Indexing)
Acute Disease -
Adult -
Esophagus - injuries Esophagus - radiography
Female -
Glomerulonephritis, Membranoproliferative - complications Glomerulonephritis, Membranoproliferative - radiography
Humans -
Mediastinal Emphysema - etiology Mediastinal Emphysema - radiography
Tomography, X-Ray Computed -
Vomiting - complications Vomiting - radiography

Find related publications in this database (Keywords)
tension pneurnomediastinum
esophagus
mucosal tear
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