Cases reported "Mediastinal Emphysema"

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1/7. Rhinolalia as a presenting sign of pneumomediastinum complicating post peripheral blood stem cell transplantation bronchiolitis obliterans.

    A 26-year-old male with graft vs. host disease (GVHD) presented with rhinolalia (a squeaky voice of nasal quality) as a presenting sign for pneumonasopharynx and pneumomediastinum secondary to bronchiolitis obliterans. The patient underwent HLA-identical related peripheral blood stem cells transplantation 8 months before the diagnosis. Three weeks after transplantation he began to suffer from GVHD Grade III that involved the gut, liver, and skin and later on the lungs. Due to severe obstructive bronchiolitis obliterans the patient developed intensive cough evolving into pneumomediastinum and pneumonasopharynx with rhinolalia. The patient was treated conservatively with complete resolution. Although rare, pneumomediastinum and pneumonasopharynx can be a life-threatening event, and one should be aware of the signs and symptoms on physical examination, which may be as subtle as rhinolalia alone.
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2/7. Spontaneous pneumomediastinum in a scuba diver.

    Pneumomediastinum usually occurs following an airleak from the lungs, or from a perforated oesophagus. We report on a 30-year-old man who developed pneumomediastinum after scuba diving. The patient presented with acute onset of throat pain, odynophagia, and hoarseness of voice. The literature is reviewed for this condition.
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3/7. Spontaneous pneumomediastinum with alteration in voice.

    A case of spontaneous pneumomediastinum, with symptoms restricted to the neck is presented. The clinical details and complications are described.
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keywords = voice
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4/7. An unusual complication following tracheo-esophageal puncture for alaryngeal voice restoration.

    A laryngectomized patient who developed massive subcutaneous emphysema, pneumothorax, pneumomediastinum, and esophageal fistula with a retroesophageal collection following the creation of a tracheo-esophageal fistula for alaryngeal voice restoration is presented, together with its management. A review of the literature is made, and possible causes of the three complications are discussed.
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keywords = voice
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5/7. dysphonia: an unusual presentation of spontaneous pneumomediastinum.

    Spontaneous pneumomediastinum, an unusual entity in children, is rarely associated with dysphonia. Muffling of the voice is more commonly associated with such pediatric illnesses as retropharyngeal or peritonsillar abscesses and epiglottitis. We report a 14-year-old female with spontaneous pneumomediastinum who presented to the emergency department with dysphonia as the primary complaint. Pneumomediastinum should be included in the differential diagnosis of dysphonia.
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keywords = voice
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6/7. Pneumomediastinum and subcutaneous emphysema following vaginal delivery. Case report and review of the literature.

    A 23-year-old woman, gravida 1, para 0, at 42 weeks of pregnancy gave birth to a healthy female infant without complications except for a 4th-degree tear. Three hours after delivery, her voice was noted to have an unusual nasal quality, she complained of chest pain, and she developed extensive swelling of the neck and upper throat.
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keywords = voice
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7/7. Spontaneous subcutaneous emphysema of the neck and mediastinum.

    An unusual case of spontaneous subcutaneous emphysema and pneumomediastinum presumably caused by a laryngeal or hypopharyngeal tear during excessive phonation is presented. The patient was treated conservatively after a careful search for any causative factors. observation, with parenteral ailimentation, intravenous antibiotics, and voice rest, is advocated for most cases. tracheostomy and open repair or mediastinotomy are reserved for the unusually severe or unresolving case.
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keywords = voice
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