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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)
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- Leading authors Med Uni Graz
- Gabor Sabine
- Co-authors 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