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Revista Médica del Uruguay

Print version ISSN 0303-3295On-line version ISSN 1688-0390

Abstract

GODANI, Nancy; OLIVERA, Germán; ITURRALDE, Andrea  and  GIORDANO, Álvaro. Pneumorrhachis and spontaneous pneumomediastinum associated with asthmatic crisis in adults. Rev. Méd. Urug. [online]. 2023, vol.39, n.3, e701.  Epub Sep 01, 2023. ISSN 0303-3295.  https://doi.org/10.29193/rmu.39.3.5.

A case report:

Pneumomediastinum is the most common form of air leak syndrome in asthmatic crisis and is usually benign in nature. Pneumorrhachis is a complication that is rarely described in the literature. We present the clinical case of a 35-year-old patient with intermittent asthma who was admitted to the Intensive Care Unit due to a severe bronchoobstructive crisis, cervical subcutaneous emphysema, and anterior chest wall emphysema. Chest computed tomography revealed extensive pneumomediastinum and pneumorrhachis Pneumothorax or hemodynamic compromise due to the crisis was not documented. The patient showed a satisfactory outcome with invasive mechanical ventilation, bronchodilators, and systemic corticosteroids.

Keywords : Asthma; Pneumomediastinum; Computed tomography; Pneumorrhachis; Subcutaneous emphysema..

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