Spontaneous pneumomediastinum, pneumoretroperitoneum, and cervicofacial subcutaneous emphysema after repeatedly and forcefully blowing into a bottle
Spontaneous pneumomediastinum (SPM) is an uncommon, self-limiting condition associated with increased intra-thoracic pressure resulting in alveolar rupture. Search of the literature revealed no detailed case report about a 26-year-old psychiatric patient who repeatedly and forcefully blew air into a...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Greater Baltimore Medical Center
2016-12-01
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| Series: | Journal of Community Hospital Internal Medicine Perspectives |
| Subjects: | |
| Online Access: | http://www.jchimp.net/index.php/jchimp/article/view/33361/pdf_230 |
| _version_ | 1797970086307299328 |
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| author | Thein Swe Akari Thein Naing Antony Lixon Joseph Quist |
| author_facet | Thein Swe Akari Thein Naing Antony Lixon Joseph Quist |
| author_sort | Thein Swe |
| collection | DOAJ |
| description | Spontaneous pneumomediastinum (SPM) is an uncommon, self-limiting condition associated with increased intra-thoracic pressure resulting in alveolar rupture. Search of the literature revealed no detailed case report about a 26-year-old psychiatric patient who repeatedly and forcefully blew air into a bottle for 5 days resulting in a combined condition of spontaneous pneumoretroperitoneum, pneumomediastinum, and cervicofacial subcutaneous emphysema. It is crucial to find a primary source and treat appropriately. Psychiatric patients may have psychotic behaviors mimicking Valsalva's maneuver that increases intra-thoracic pressure and causing SPM. Optimal medications should be given to control psychotic behaviors. Family members and caregivers should be explained about this unusual behavior so that they can prevent this rare condition. |
| first_indexed | 2024-04-11T03:12:28Z |
| format | Article |
| id | doaj.art-30610c0bf3fd4bea995ae5014d7f95ed |
| institution | Directory Open Access Journal |
| issn | 2000-9666 |
| language | English |
| last_indexed | 2024-04-11T03:12:28Z |
| publishDate | 2016-12-01 |
| publisher | Greater Baltimore Medical Center |
| record_format | Article |
| series | Journal of Community Hospital Internal Medicine Perspectives |
| spelling | doaj.art-30610c0bf3fd4bea995ae5014d7f95ed2023-01-02T11:21:02ZengGreater Baltimore Medical CenterJournal of Community Hospital Internal Medicine Perspectives2000-96662016-12-01661410.3402/jchimp.v6.3336133361Spontaneous pneumomediastinum, pneumoretroperitoneum, and cervicofacial subcutaneous emphysema after repeatedly and forcefully blowing into a bottleThein Swe0Akari Thein Naing1Antony Lixon2Joseph Quist3 Department of Internal Medicine, Interfaith Medical Center, Brooklyn, NY, USA Department of Internal Medicine, Interfaith Medical Center, Brooklyn, NY, USA Division of Pulmonary Medicine, Interfaith Medical Center, Brooklyn, NY, USA Division of Pulmonary Medicine, Interfaith Medical Center, Brooklyn, NY, USASpontaneous pneumomediastinum (SPM) is an uncommon, self-limiting condition associated with increased intra-thoracic pressure resulting in alveolar rupture. Search of the literature revealed no detailed case report about a 26-year-old psychiatric patient who repeatedly and forcefully blew air into a bottle for 5 days resulting in a combined condition of spontaneous pneumoretroperitoneum, pneumomediastinum, and cervicofacial subcutaneous emphysema. It is crucial to find a primary source and treat appropriately. Psychiatric patients may have psychotic behaviors mimicking Valsalva's maneuver that increases intra-thoracic pressure and causing SPM. Optimal medications should be given to control psychotic behaviors. Family members and caregivers should be explained about this unusual behavior so that they can prevent this rare condition.http://www.jchimp.net/index.php/jchimp/article/view/33361/pdf_230pneumomediastinumpneumoretroperitoneumsubcutaneous emphysemablowing bottlevalsalva maneuver |
| spellingShingle | Thein Swe Akari Thein Naing Antony Lixon Joseph Quist Spontaneous pneumomediastinum, pneumoretroperitoneum, and cervicofacial subcutaneous emphysema after repeatedly and forcefully blowing into a bottle Journal of Community Hospital Internal Medicine Perspectives pneumomediastinum pneumoretroperitoneum subcutaneous emphysema blowing bottle valsalva maneuver |
| title | Spontaneous pneumomediastinum, pneumoretroperitoneum, and cervicofacial subcutaneous emphysema after repeatedly and forcefully blowing into a bottle |
| title_full | Spontaneous pneumomediastinum, pneumoretroperitoneum, and cervicofacial subcutaneous emphysema after repeatedly and forcefully blowing into a bottle |
| title_fullStr | Spontaneous pneumomediastinum, pneumoretroperitoneum, and cervicofacial subcutaneous emphysema after repeatedly and forcefully blowing into a bottle |
| title_full_unstemmed | Spontaneous pneumomediastinum, pneumoretroperitoneum, and cervicofacial subcutaneous emphysema after repeatedly and forcefully blowing into a bottle |
| title_short | Spontaneous pneumomediastinum, pneumoretroperitoneum, and cervicofacial subcutaneous emphysema after repeatedly and forcefully blowing into a bottle |
| title_sort | spontaneous pneumomediastinum pneumoretroperitoneum and cervicofacial subcutaneous emphysema after repeatedly and forcefully blowing into a bottle |
| topic | pneumomediastinum pneumoretroperitoneum subcutaneous emphysema blowing bottle valsalva maneuver |
| url | http://www.jchimp.net/index.php/jchimp/article/view/33361/pdf_230 |
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