2020 Volume 71 Issue 6 Pages 405-408
We reviewed 22 cases with spontaneous pneumomediastinum in our institution from January 2009 to January 2019. The cases included 17 men and 5 women. The mean age was 20.5 (11-57), and mean BMI was 19 (16-24) kg/m2. Five cases had a history of smoking. There was no clear cause in 11 cases, whereas 8 occurred during sports, 2 when coughing, 1 when singing, and 1 while drinking water. The chief complaint was chest pain in 17 cases, pain in the throat in 9, and respiratory discomfort in 1. The mean white blood cell level was 9710±2800/μl, and the CRP level was 0.46±0.86 mg/dl. All cases were diagnosed by CT examination. The mean hospital stay was 3 days, and mean follow-up length was 9.6 days. All cases recovered by conservation without intervention. Cases of spontaneous pneumomediastinum require careful management.
