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Visual Diagnosis in Emergency Medicine| Volume 53, ISSUE 5, P762-764, November 2017

“Screaming your Lungs Out!” A Case of Boy Band-Induced Pneumothorax, Pneumomediastinum, and Pneumoretropharyngeum

  • J Mack Slaughter Jr.
    Correspondence
    Reprint Address: J Mack Slaughter, Jr., md, Department of Emergency Medicine, UT Southwestern Medical Center, University of Texas Southwestern/Parkland Health & Hospital System, 5323 Harry Hines Blvd., Dallas, TX 75390-8575.
    Affiliations
    Department of Emergency Medicine, UT Southwestern Medical Center, University of Texas Southwestern/Parkland Health & Hospital System, Dallas, Texas
    Search for articles by this author
  • Lynn Roppolo
    Affiliations
    Department of Emergency Medicine, UT Southwestern Medical Center, University of Texas Southwestern/Parkland Health & Hospital System, Dallas, Texas
    Search for articles by this author
Published:October 05, 2017DOI:https://doi.org/10.1016/j.jemermed.2017.08.006
“Screaming your Lungs Out!” A Case of Boy Band-Induced Pneumothorax, Pneumomediastinum, and Pneumoretropharyngeum
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      Spontaneous pneumothorax, pneumomediastinum, and pneumoretropharyngeum (also described in the literature as retropharyngeal emphysema) are each defined as atraumatic development of air within their respective anatomical spaces. Typical triggers for these conditions include acute asthma exacerbations, respiratory infections, vomiting, and barotrauma (
      • Stack A.M.
      • Caputo G.L.
      Pneumomediastinum in childhood asthma.
      Pediatr Emerg Care. 1996; 12: 98-101
      ,
      • Forshaw M.J.
      • Khan A.Z.
      • Strauss D.C.
      • Botha A.J.
      • Mason R.C.
      Vomiting-inducted pneumomediastinum and subcutaneous emphysema does not always indicate Boerhaave's syndrome: report of six cases.
      Surg Today. 2007; 37: 888-892
      ,
      • Partridge R.A.
      • Coley A.
      • Bowie R.
      • Woolard R.H.
      Sports-related pneumothorax.
      Ann Emerg Med. 1997; 30: 539-541
      ,
      • Grossman A.
      • Romem A.
      • Azaria B.
      • Goldstein L.
      • Barenboim E.
      Pneumomediastinum in student aviators: 10 cases with return to flying duty.
      Aviat Space Environ Med. 2005; 76: 63-65
      ,
      • Smith II, J.L.
      • Hsu J.M.
      Spontaneous pneumomediastinum presenting with retropharyngeal emphysema.
      Am J Otolaryngol. 2004; 25: 290-294
      ). Many cases involve underlying lung disorders (
      • Sahn S.A.
      • Heffner J.E.
      Spontaneous pneumothorax.
      N Engl J Med. 2000; 342: 868-874
      ). We report a case of these three conditions in a young female with no known underlying lung problems that presented after forceful screaming.
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        View in Article
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        • Khan A.Z.
        • Strauss D.C.
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        Vomiting-inducted pneumomediastinum and subcutaneous emphysema does not always indicate Boerhaave's syndrome: report of six cases.
        Surg Today. 2007; 37: 888-892
        View in Article
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        View in Article
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        Pneumomediastinum in student aviators: 10 cases with return to flying duty.
        Aviat Space Environ Med. 2005; 76: 63-65
        View in Article
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        View in Article
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      Article info

      Publication history

      Published online: October 05, 2017
      Accepted: August 8, 2017
      Received in revised form: May 25, 2017
      Received: August 23, 2016

      Identification

      DOI: https://doi.org/10.1016/j.jemermed.2017.08.006

      Copyright

      © 2017 Elsevier Inc. All rights reserved.

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