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“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
      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.
      ,
      • 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.
      ,
      • Partridge R.A.
      • Coley A.
      • Bowie R.
      • Woolard R.H.
      Sports-related pneumothorax.
      ,
      • Grossman A.
      • Romem A.
      • Azaria B.
      • Goldstein L.
      • Barenboim E.
      Pneumomediastinum in student aviators: 10 cases with return to flying duty.
      ,
      • Smith II, J.L.
      • Hsu J.M.
      Spontaneous pneumomediastinum presenting with retropharyngeal emphysema.
      ). Many cases involve underlying lung disorders (
      • Sahn S.A.
      • Heffner J.E.
      Spontaneous pneumothorax.
      ). 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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