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Issue Date
2009-04-01
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Spontanous pneumomediastinum after yoga practice - a case reportCitation
Læknablaðið 2009, 95(4):279-81Abstract
Pneumomediastinum is defined as interstitial air in the mediastinum, without any apparent precipating factor such as trauma, oesophageal perforation or infections. It is very uncommon and usually affects young otherwise healthy individuals. The most common symtoms are chest pain and dyspnea with subcutaneous emphysema found on examination. Treatment is usually conservative with pain relief. Here, we present an unusual case of a 23-year-old previously healthy male who was diagnosed with pneumomediastinum after practising yoga. This case demonstrates the need to study patients with chest pain of unknown cause in details to find causes.Sjálfsprottið loftmiðmæti (spontanteous pneumo-mediastinum) er skilgreint sem óeðlileg loftsöfnun í miðmæti án augljóss orsakavalds. Þetta er sjaldgæfur kvilli sem aðallega greinist í annars hraustum karlmönnum. Langoftast er ekki þörf á neinni sérstakri meðferð né eftirfylgd og horfur eru mjög góðar. Hér er lýst 23 ára karlmanni sem leitaði á bráðamóttöku vegna brjóstverkja sem komu skyndilega við jógaæfingar og reyndist vera sjálfsprottið loftmiðmæti. Þetta tilfelli sýnir mikilvægi þess að rannsaka einstaklinga með brjóstverki ítarlega til að finna orsakir.
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