Spontaneous pneumomediastinum: An algorithm for diagnosis and management

Kazuto Takada; Shuuichi Matsumoto; Tetsuo Hiramatsu; Eiji Kojima; Masato Shizu; Shoutarou Okachi; Kiyoko Ninomiya; Hiroshi Morioka

doi:10.1177/1753465809350888

Spontaneous pneumomediastinum: An algorithm for diagnosis and management

Kazuto Takada, Shuuichi Matsumoto, Tetsuo Hiramatsu, Eiji Kojima, Masato Shizu, Shoutarou Okachi, Kiyoko Ninomiya, Hiroshi Morioka

Research output: Contribution to journal › Review article › peer-review

64 Citations (Scopus)

Abstract

Spontaneous pneumomediastinum (SPM) is a rare disorder most often affecting young males which is generally self-limiting. Despite the benign prognosis with few complications and little morbidity, it frequently confuses clinicians in primary settings, who may have difficulty differentiating SPM from other serious organ ruptures, especially oesophageal rupture (the so-called Boerhaave syndrome), which may lead to mediastinitis and may be fatal, even with appropriate interventions. An overview of adult SPM is provided, reviewing 17 studies (414 patients), including our clinical experience, and finally an algorithm for diagnosis and management of SPM is proposed, based on the characteristics of SPM.

Original language	English
Pages (from-to)	301-307
Number of pages	7
Journal	Therapeutic Advances in Respiratory Disease
Volume	3
Issue number	6
DOIs	https://doi.org/10.1177/1753465809350888
Publication status	Published - 12-2009
Externally published	Yes

All Science Journal Classification (ASJC) codes

Pulmonary and Respiratory Medicine
Pharmacology (medical)

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abstract = "Spontaneous pneumomediastinum (SPM) is a rare disorder most often affecting young males which is generally self-limiting. Despite the benign prognosis with few complications and little morbidity, it frequently confuses clinicians in primary settings, who may have difficulty differentiating SPM from other serious organ ruptures, especially oesophageal rupture (the so-called Boerhaave syndrome), which may lead to mediastinitis and may be fatal, even with appropriate interventions. An overview of adult SPM is provided, reviewing 17 studies (414 patients), including our clinical experience, and finally an algorithm for diagnosis and management of SPM is proposed, based on the characteristics of SPM.",

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AU - Takada, Kazuto

AU - Matsumoto, Shuuichi

AU - Hiramatsu, Tetsuo

AU - Kojima, Eiji

AU - Shizu, Masato

AU - Okachi, Shoutarou

AU - Ninomiya, Kiyoko

AU - Morioka, Hiroshi

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AB - Spontaneous pneumomediastinum (SPM) is a rare disorder most often affecting young males which is generally self-limiting. Despite the benign prognosis with few complications and little morbidity, it frequently confuses clinicians in primary settings, who may have difficulty differentiating SPM from other serious organ ruptures, especially oesophageal rupture (the so-called Boerhaave syndrome), which may lead to mediastinitis and may be fatal, even with appropriate interventions. An overview of adult SPM is provided, reviewing 17 studies (414 patients), including our clinical experience, and finally an algorithm for diagnosis and management of SPM is proposed, based on the characteristics of SPM.

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Spontaneous pneumomediastinum: An algorithm for diagnosis and management

Abstract

All Science Journal Classification (ASJC) codes

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