Spontaneous pneumomediastinum: A collaborative sequelae between COVID‐19 and self‐inflicted lung injury ‐ A case report and literature review

Spontaneous pneumomediastinum is an infrequent complication of COVID-19. The mechanism is still unknown and thought to be related to patient self-inflicted lung injury. Our patient is a 49-year-old male who presented with shortness of breath and cough. A COVID-19 Polymerase Chain Reaction was positi...

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Main Authors: Abdul Rahman Al Armashi, MD, Francisco J. Somoza-Cano, MD, Kanchi Patell, MD, Mohamed Homeida, MD, Omkar Desai, MD, Anas Al Zubaidi, MD, Basel Altaqi, MD, Keyvan Ravakhah, MD
Format: Article
Language:English
Published: Elsevier 2021-12-01
Series:Radiology Case Reports
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S1930043321006452
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author Abdul Rahman Al Armashi, MD
Francisco J. Somoza-Cano, MD
Kanchi Patell, MD
Mohamed Homeida, MD
Omkar Desai, MD
Anas Al Zubaidi, MD
Basel Altaqi, MD
Keyvan Ravakhah, MD
author_facet Abdul Rahman Al Armashi, MD
Francisco J. Somoza-Cano, MD
Kanchi Patell, MD
Mohamed Homeida, MD
Omkar Desai, MD
Anas Al Zubaidi, MD
Basel Altaqi, MD
Keyvan Ravakhah, MD
author_sort Abdul Rahman Al Armashi, MD
collection DOAJ
description Spontaneous pneumomediastinum is an infrequent complication of COVID-19. The mechanism is still unknown and thought to be related to patient self-inflicted lung injury. Our patient is a 49-year-old male who presented with shortness of breath and cough. A COVID-19 Polymerase Chain Reaction was positive. He required a high-flow nasal cannula, but he did not demand mechanical ventilation. Computed tomography angiography scan of the chest revealed pneumomediastinum. He was managed conservatively, and a complete recovery was achieved. This case highlights the emerging association of COVID-19, patient self-inflicted lung injury, and pneumomediastinum. Furthermore, spontaneous pneumomediastinum should be suspected even in patients who were not mechanically ventilated.
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spelling doaj.art-c02dc32e584e488e940b0122d2bf4dbf2022-12-21T21:24:52ZengElsevierRadiology Case Reports1930-04332021-12-01161236553658Spontaneous pneumomediastinum: A collaborative sequelae between COVID‐19 and self‐inflicted lung injury ‐ A case report and literature reviewAbdul Rahman Al Armashi, MD0Francisco J. Somoza-Cano, MD1Kanchi Patell, MD2Mohamed Homeida, MD3Omkar Desai, MD4Anas Al Zubaidi, MD5Basel Altaqi, MD6Keyvan Ravakhah, MD7St. Vincent Charity Medical Center, Cleveland, OH, USA; Corresponding author.St. Vincent Charity Medical Center, Cleveland, OH, USASt. Vincent Charity Medical Center, Cleveland, OH, USASt. Vincent Charity Medical Center, Cleveland, OH, USAYale University School of Medicine, New Haven, CT, USABaptist Health North Little Rock North Little Rock, North Little Rock, AR, USASt. Vincent Charity Medical Center, Cleveland, OH, USASt. Vincent Charity Medical Center, Cleveland, OH, USASpontaneous pneumomediastinum is an infrequent complication of COVID-19. The mechanism is still unknown and thought to be related to patient self-inflicted lung injury. Our patient is a 49-year-old male who presented with shortness of breath and cough. A COVID-19 Polymerase Chain Reaction was positive. He required a high-flow nasal cannula, but he did not demand mechanical ventilation. Computed tomography angiography scan of the chest revealed pneumomediastinum. He was managed conservatively, and a complete recovery was achieved. This case highlights the emerging association of COVID-19, patient self-inflicted lung injury, and pneumomediastinum. Furthermore, spontaneous pneumomediastinum should be suspected even in patients who were not mechanically ventilated.http://www.sciencedirect.com/science/article/pii/S1930043321006452COVID-19Sars-cov-2Spontaneous PneumomediastinumPatient Self-Inflicted Lung Injury(PSILI)Pneumomediastinum
spellingShingle Abdul Rahman Al Armashi, MD
Francisco J. Somoza-Cano, MD
Kanchi Patell, MD
Mohamed Homeida, MD
Omkar Desai, MD
Anas Al Zubaidi, MD
Basel Altaqi, MD
Keyvan Ravakhah, MD
Spontaneous pneumomediastinum: A collaborative sequelae between COVID‐19 and self‐inflicted lung injury ‐ A case report and literature review
Radiology Case Reports
COVID-19
Sars-cov-2
Spontaneous Pneumomediastinum
Patient Self-Inflicted Lung Injury
(PSILI)
Pneumomediastinum
title Spontaneous pneumomediastinum: A collaborative sequelae between COVID‐19 and self‐inflicted lung injury ‐ A case report and literature review
title_full Spontaneous pneumomediastinum: A collaborative sequelae between COVID‐19 and self‐inflicted lung injury ‐ A case report and literature review
title_fullStr Spontaneous pneumomediastinum: A collaborative sequelae between COVID‐19 and self‐inflicted lung injury ‐ A case report and literature review
title_full_unstemmed Spontaneous pneumomediastinum: A collaborative sequelae between COVID‐19 and self‐inflicted lung injury ‐ A case report and literature review
title_short Spontaneous pneumomediastinum: A collaborative sequelae between COVID‐19 and self‐inflicted lung injury ‐ A case report and literature review
title_sort spontaneous pneumomediastinum a collaborative sequelae between covid 19 and self inflicted lung injury a case report and literature review
topic COVID-19
Sars-cov-2
Spontaneous Pneumomediastinum
Patient Self-Inflicted Lung Injury
(PSILI)
Pneumomediastinum
url http://www.sciencedirect.com/science/article/pii/S1930043321006452
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