Spontaneous Pneumomediastinum: Analysis of 11 Cases

Objectives: The presence of free air in mediastinum is defined as pneumomediastinum. The incidence is between 1/7000-1/32000. In this study, our aim is to discuss our cases with spontaneous pneumomediastinum (SPM), which has low incidence, in the light of the literature.
Methods: The files of 11 cases who were diagnosed with SPM in pulmonary diseases and thoracic surgery department and followed up and treated in thoracic surgery clinic between 2012-2018 were retrospectively analyzed. Patients’ age, sex, etiological factors, diagnosis and treatment methods and hospital stay were evaluated.
Results: Between the years of 2012-2018, 11 cases with SPM who were not related to trauma were detected. Nine (81.8%) of the patients were male; the median age was 38.5 years. Among the predisposing factors that played a role in the formation of SPM, the most common symptom was dyspnea, while the second most common symptom was coughing seizures. The median duration of hospitalization was 3.8 days, and no mortality was observed.
Conclusion: Spontaneous pneumomediastinum is a rare clinical condition, especially in young men. SPM treatment can be conservative or surgical.

Spontan Pnömomediyastinum: 11 olgunun analizi

Amaç: Mediyastinum içerisinde serbest hava bulunmasý pnömomediyastinum olarak tanýmlanýr. Görülme sýklýðý 1/7000-1/32000 arasýndadýr. Bu çalýþmada amacýmýz görülme sýklýðý az olan spontan pnömomediyastinum (SPM) olgularýmýzý literatür bilgileri ýþýðýnda tartýþmaktýr.
Gereç ve Yöntem: Göðüs hastalýklarý ve göðüs cerrahisi bölümlerinde 2012-2018 SPM tanýsý konulup, göðüs cerrahisi kliniðinde takip ve tedavisi yapýlmýþ olan 11 olgunun dosyalarý retrospektif olarak incelendi. Hastalar; yaþ, cinsiyet, etyolojik faktörler, taný ve tedavi yöntemleri ile hastanede yatýþ süreleri açýsýndan deðerlendirildi.
Bulgular: Ýkibinoniki-2018 yýllarý arasýnda travmaya baðlý olmayan 11 SPM’ li olgu tespit edildi. Hastalarýn dokuz (% 81.8)’u erkek olup; yaþ ortancasý 38.5 idi. Spontan pnömomediyastinum oluþumunda rol oynayan predispozan faktörler arasýnda ilk sýrayý solunum yolu enfeksiyonuna sekonder geliþen öksürük nöbetleri alýrken en sýk görülen semptom ise dispne olarak tespit edildi. Olgularýn hastanede yatýþ süreleri ortancasý 3,8 gün olarak belirlenirken,mortalite gözlenmedi.
Sonuç: Spontan pnömomediyastinum özellikle genç erkeklerde görülen nadir bir klinik durumdur. Spontan pnömomediyastinum tedavisi konservatif ya da cerrahi olabilir. (SETB-2019-04-075)