CC BY 4.0 · European J Pediatr Surg Rep. 2021; 09(01): e65-e67
DOI: 10.1055/s-0041-1731274
Case Report

Severe Spontaneous Pneumomediastinum in a Girl with Cystic Fibrosis

Csaba Zsiborás
1  Department of Pediatrics, University of Pécs, Medical School, Pecs, Hungary
,
Mária Adonyi
1  Department of Pediatrics, University of Pécs, Medical School, Pecs, Hungary
,
József Stankovics
1  Department of Pediatrics, University of Pécs, Medical School, Pecs, Hungary
,
András Farkas
1  Department of Pediatrics, University of Pécs, Medical School, Pecs, Hungary
,
Peter Vajda
1  Department of Pediatrics, University of Pécs, Medical School, Pecs, Hungary
,
1  Department of Pediatrics, University of Pécs, Medical School, Pecs, Hungary
› Author Affiliations

Abstract

We report on an 11-year-old girl with cystic fibrosis who presented with thoracic pain and an extensive subcutaneous emphysema and subsequently developed progressive respiratory distress. The chest computed tomography revealed a huge pneumomediastinum. Due to the development of severe respiratory failure, urgent needle thoracocentesis was necessary that resulted in only temporary improvement. Therefore, under general anesthesia two mediastinal drains were introduced. Using active suction, the size of the pneumomediastinum decreased gradually and the drains were removed after 3 weeks. Here, we describe an extremely rare situation, when acute surgical intervention was necessary in a child with spontaneous pneumomediastinum.



Publication History

Received: 24 January 2021

Accepted: 01 May 2021

Publication Date:
01 October 2021 (online)

© 2021. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)

Georg Thieme Verlag KG
Rüdigerstraße 14, 70469 Stuttgart, Germany