Academic Journal
When Screams Turn Into Symptoms: Spontaneous Pneumomediastinum in an Adolescent After Intense Vocalization at a Pop Concert.
| Τίτλος: | When Screams Turn Into Symptoms: Spontaneous Pneumomediastinum in an Adolescent After Intense Vocalization at a Pop Concert. |
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| Συγγραφείς: | Wronkowska N; Department of Pediatric Pulmonology and Allergy, Medical University of Warsaw, Warsaw, Poland., Kopka M; Department of Pediatric Pulmonology and Allergy, Medical University of Warsaw, Warsaw, Poland; Department of Methodology, Medical University of Warsaw, Warsaw, Poland; Doctoral School, Medical University of Warsaw, Warsaw, Poland., Feleszko W; Department of Pediatric Pulmonology and Allergy, Medical University of Warsaw, Warsaw, Poland. Electronic address: wojciech.feleszko@wum.edu.pl. |
| Πηγή: | The Journal of adolescent health : official publication of the Society for Adolescent Medicine [J Adolesc Health] 2026 Feb; Vol. 78 (2), pp. 364-366. Date of Electronic Publication: 2025 Dec 06. |
| Τύπος έκδοσης: | Journal Article; Case Reports |
| Γλώσσα: | English |
| Στοιχεία περιοδικού: | Publisher: Elsevier Country of Publication: United States NLM ID: 9102136 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1879-1972 (Electronic) Linking ISSN: 1054139X NLM ISO Abbreviation: J Adolesc Health Subsets: MEDLINE |
| Imprint Name(s): | Original Publication: New York, NY : Elsevier, c1991- |
| Ιατρικοί όροι (MeSH): | Mediastinal Emphysema*/etiology , Mediastinal Emphysema*/diagnosis , Mediastinal Emphysema*/diagnostic imaging , Mediastinal Emphysema*/therapy , Music*, Chest Pain/etiology ; Subcutaneous Emphysema/etiology ; Dyspnea/etiology ; Humans ; Adolescent ; Female ; Tomography, X-Ray Computed ; Diagnosis, Differential |
| Περίληψη: | Spontaneous pneumomediastinum (SPM) is a rare condition in adolescents, typically associated with underlying pulmonary disease or physical exertion. We report a unique case of a 17-year-old female who developed SPM following excessive shouting at a concert. The patient presented with acute substernal chest pain radiating to the neck, accompanied by dyspnea and bilateral crepitus in the cervical region. Physical examination revealed subcutaneous emphysema and a positive Hamman's sign. Chest radiography confirmed pneumomediastinum and subcutaneous emphysema, while computed tomography excluded underlying bullous disease. Management was conservative, including analgesia, oxygen therapy, and close monitoring. The patient showed complete resolution within 1 week and was advised to refrain from strenuous vocalization and air travel. This case highlights the need for awareness of SPM as a differential diagnosis in adolescents presenting with acute chest pain postexertional vocal activity. In addition, we discuss the potential implications of e-cigarette use in relation to barotrauma. (Copyright © 2025 Society for Adolescent Health and Medicine. Published by Elsevier Inc. All rights reserved.) |
| Contributed Indexing: | Keywords: Adolescent; Pneumothorax; Shouting; Spontaneous pneumomediastinum; e-cigarettes |
| Entry Date(s): | Date Created: 20251206 Date Completed: 20260114 Latest Revision: 20260114 |
| Update Code: | 20260130 |
| DOI: | 10.1016/j.jadohealth.2025.10.022 |
| PMID: | 41351614 |
| Βάση Δεδομένων: | MEDLINE |
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