Spontaneous pneumomediastinum in a male adolescent using e-cigarettes

Background: Spontaneous pneumomediastinum (PM) is a rare benign disease entity in children with several predisposing factors. This study reports a case of spontaneous PM related to the use of electronic cigarettes (e-cigarettes) in a 17-year-old adolescent. Case Presentation: A 17-year-old male, use...

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Main Authors: Feras Abuzeyad, Naser Yusuf Aljawder, Emad Al Ghriw
Format: Article
Language:English
Published: Discover STM Publishing Ltd
Series:Saudi Journal of Emergency Medicine
Subjects:
Online Access:http://www.ejmanager.com/fulltextpdf.php?mno=48518
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author Feras Abuzeyad
Naser Yusuf Aljawder
Emad Al Ghriw
author_facet Feras Abuzeyad
Naser Yusuf Aljawder
Emad Al Ghriw
author_sort Feras Abuzeyad
collection DOAJ
description Background: Spontaneous pneumomediastinum (PM) is a rare benign disease entity in children with several predisposing factors. This study reports a case of spontaneous PM related to the use of electronic cigarettes (e-cigarettes) in a 17-year-old adolescent. Case Presentation: A 17-year-old male, user of e-cigarettes, with no underlying pulmonary disease presented to the emergency department with acute chest pain, without any preceding events including trauma. His physical examination was unremarkable apart from positive Hamman's crunch. A plain chest X-ray showed PM and left-sided apical pneumothorax. Chest computed tomography confirmed the presence of PM, accompanied by pneumopericardium and bilateral apical pneumothoraces. The patient reported the use of e-cigarettes, and he was admitted and conservatively managed in the hospital and discharged after three uneventful days. In this case, smoking e-cigarettes was the only predisposing factor found to be associated with the development of spontaneous PM. Conclusion: Emergency physicians should consider the diagnosis of spontaneous PM in adolescents who are presenting with acute chest pain, and e-cigarette smoking could be a precipitating factor. [SJEMed 2022; 3(3.000): 229-232]
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spelling doaj.art-03ee2316ed594c188c265c05ec2319da2023-07-03T16:13:33ZengDiscover STM Publishing LtdSaudi Journal of Emergency Medicine1658-84873322923210.24911/SJEMed/72-165416367148518Spontaneous pneumomediastinum in a male adolescent using e-cigarettesFeras Abuzeyad0Naser Yusuf Aljawder1Emad Al Ghriw2Department of Emergency Medicine, King Hamad University Hospital, Bahrain Department of Emergency Medicine, King Hamad University Hospital, Bahrain Radiology Department, King Hamad University Hospital, Bahrain.Background: Spontaneous pneumomediastinum (PM) is a rare benign disease entity in children with several predisposing factors. This study reports a case of spontaneous PM related to the use of electronic cigarettes (e-cigarettes) in a 17-year-old adolescent. Case Presentation: A 17-year-old male, user of e-cigarettes, with no underlying pulmonary disease presented to the emergency department with acute chest pain, without any preceding events including trauma. His physical examination was unremarkable apart from positive Hamman's crunch. A plain chest X-ray showed PM and left-sided apical pneumothorax. Chest computed tomography confirmed the presence of PM, accompanied by pneumopericardium and bilateral apical pneumothoraces. The patient reported the use of e-cigarettes, and he was admitted and conservatively managed in the hospital and discharged after three uneventful days. In this case, smoking e-cigarettes was the only predisposing factor found to be associated with the development of spontaneous PM. Conclusion: Emergency physicians should consider the diagnosis of spontaneous PM in adolescents who are presenting with acute chest pain, and e-cigarette smoking could be a precipitating factor. [SJEMed 2022; 3(3.000): 229-232]http://www.ejmanager.com/fulltextpdf.php?mno=48518pneumomediastinumemergency departmentelectronic cigarettespediatricchest pain
spellingShingle Feras Abuzeyad
Naser Yusuf Aljawder
Emad Al Ghriw
Spontaneous pneumomediastinum in a male adolescent using e-cigarettes
Saudi Journal of Emergency Medicine
pneumomediastinum
emergency department
electronic cigarettes
pediatric
chest pain
title Spontaneous pneumomediastinum in a male adolescent using e-cigarettes
title_full Spontaneous pneumomediastinum in a male adolescent using e-cigarettes
title_fullStr Spontaneous pneumomediastinum in a male adolescent using e-cigarettes
title_full_unstemmed Spontaneous pneumomediastinum in a male adolescent using e-cigarettes
title_short Spontaneous pneumomediastinum in a male adolescent using e-cigarettes
title_sort spontaneous pneumomediastinum in a male adolescent using e cigarettes
topic pneumomediastinum
emergency department
electronic cigarettes
pediatric
chest pain
url http://www.ejmanager.com/fulltextpdf.php?mno=48518
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AT naseryusufaljawder spontaneouspneumomediastinuminamaleadolescentusingecigarettes
AT emadalghriw spontaneouspneumomediastinuminamaleadolescentusingecigarettes