Abstract
We herein report a case of cervical and mediastinal emphysema caused by a closed tracheal injury sustained during a Kendo (Japanese Fencing) match. A 13-year-old female was accidently injured on her neck during a Kendo match. After being injured, she continued to do Kendo because there were no symptoms at that time. Two hours after the injury, pain in both the neck and chest developed gradually. After admission, computed tomography showed neck and mediastinal emphysema. Both the pain and mediastinal emphysema improved gradually with rest and the administration of antibiotics during a 7-day period after admission. Patients who received a closed injury on the neck must therefore be carefully observed even if neither signs nor any immediate symptoms are observed.