Kshitij Arun Mane Senior Resident, Department of Pediatric Surgery, B.Y.L. Nair Hospital and TNMC, Mumbai, Maharashtra, India, India
Hemanshi Shah Professor & HOD, Department of Pediatric Surgery, B.Y.L. Nair Hospital and TNMC, Mumbai, Maharashtra, India
Ameya Mujumdars Senior Resident, Department of Pediatric Surgery, B.Y.L. Nair Hospital and TNMC, Mumbai, Maharashtra, India
Neha Masrani Senior Resident, Department of Pediatric Surgery, B.Y.L. Nair Hospital and TNMC, Mumbai, Maharashtra, India
Shravya Shetty Senior Resident, Department of Pediatric Surgery, B.Y.L. Nair Hospital and TNMC, Mumbai, Maharashtra,, India
Neha Shenoy Sisodiya Additional Professor, Department of Pediatric Surgery, B.Y.L. Nair Hospital and TNMC, Mumbai, Maharashtra, India
Suraj Gandhi Assistant Professor, Department of Pediatric Surgery, B.Y.L. Nair Hospital and TNMC, Mumbai, Maharashtra, India
Address for correspondence: Hemanshi Shah, Professor & HOD, Department of Pediatric Surgery, B.Y.L. Nair Hospital and TNMC, Mumbai, Maharashtra, India E-mail: hemanshishah@gmail.com
This license enables reusers to distribute, remix, adapt, and build upon the material in any medium or format for noncommercial purposes only, and only so long as attribution is given to the creator.
Kshitij Arun Mane, Hemanshi Shah, Ameya Mujumdars et. al, Spontaneous Pneumomediastinum with Subcutaneous Emphysema after a trivial Injury in the Pediatric Age Group. Pediatr. Edu. Res. 2025;13(1): 27-30.
Timeline
Received : March 05, 2025
Accepted : June 27, 2025
Published : June 18, 2025
Abstract
Pneumomediastinum in the paediatric age group is anuncommon condition associated with severe trauma, infection, structural lung pathology or iatrogenic injury to the trachea or esophagus. Severe pneumomediastinum may coexist with pneumothorax and subcutaneous emphysemaleading to serious complications like airway obstruction and cardiac tamponade. Therefore, early diagnosis and timely management are essential to look for the etiology and prevent further damage. Here, we present a case of spontaneous pneumomediastinum and subcutaneous emphysema secondary to trivial trauma to highlight the pathogenesis and suggest therapeutic strategies.
References
1. Fraser RS, Pare JA, Fraser RG, Pare PD. Synopsis of Diseases of the Chest. 2nd ed. Philadelphia, PA: WB Saunders; 1994. The normal chest; pp. 1–116.
2. Macklin MT, Macklin CC. Malignant interstitial emphysema of the lungs and mediastinum as an important occult complication in many respiratory diseases and other conditions: an interpretation of the classic literature in the light of laboratory equipment. Medicine. 1944;23:281-352.
3. Abolnik I, Lossos IS, Breuer R. Spontaneous pneumomediastinum. A report of 25 cases. Chest. 1991;100:93–5.
4. Dechambre S, d’Odémont JP, Cornelis JP, Fastrez J. Spontaneous pneumomediastinum after sneezing. Ann Thorac Surg. 1995; 60:1457.
5. Kaneki T, Kubo K, Kawashima A, Koizumi T, Sekiguchi M, Sone S. Spontaneous pneumomediastinum in 33 patients: Yield of chest computed tomography for the diagnosis of the mild type. Respiration. 2000;67:408–11.
6. Newcomb AE, Clarke CP. Spontaneous pneumomediastinum: A benign curiosity or a significant problem? Chest. 2005;128:3298– 302.
7. V.N. Iyer, A.Y. Joshi, J.H. Ryu Spontaneous pneumomediastinum: analysis of 62 consecutive adult patients Mayo Clin Proc, 84 (5) (2009), pp. 417-421.
Data Sharing Statement
There are no additional data available.
Funding
This research received no funding.
Author Contributions
All authors contributed significantly to the work and approve its publication.
Ethics Declaration
This article does not involve any human or animal subjects, and therefore does not require ethics approval.
Acknowledgements
Information not provided.
Conflicts of Interest
The authors report no conflicts of interest in this work.
About this article
Cite this article
Kshitij Arun Mane, Hemanshi Shah, Ameya Mujumdars et. al, Spontaneous Pneumomediastinum with Subcutaneous Emphysema after a trivial Injury in the Pediatric Age Group. Pediatr. Edu. Res. 2025;13(1): 27-30.
This license enables reusers to distribute, remix, adapt, and build upon the material in any medium or format for noncommercial purposes only, and only so long as attribution is given to the creator.
This license enables reusers to distribute, remix, adapt, and build upon the material in any medium or format for noncommercial purposes only, and only so long as attribution is given to the creator.