Spontaneous Retropharyngeal and Mediastinal Emphysema.
Spontaneous Retropharyngeal and Mediastinal Emphysema.
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DOI：
10.21053/ceo.2014.01543
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发表时间：
2016-06
影响因子：
3
通讯作者：
Shepard KG
中科院分区：
文献类型：
--
作者：
Cho DY;Aaron GP;Shepard KG
一个14岁的女孩，没有明显的病史，在一次非暴力咳嗽后出现喉咙痛和咽痛。她否认有呼吸窘迫，声音变化，异物摄入，干呕，药物滥用，牙科手术或创伤。患者无发热，血氧饱和度正常，体格检查包括头部和颈部，除双侧颈部肌酐外，无触痛。纤维喉镜检查显示喉道通畅，声带运动正常。颈部侧位x线片显示咽后间隙有线状气柱，计算机断层扫描证实肺气肿累及咽后间隙和纵隔，未见积液或脓肿形成。自发性咽后和纵隔肺气肿是临床实体，在咽后间隙和纵隔范围内存在自由空气，没有明显原因。它是良性和自我限制的性质，允许保守管理。本案例以文献回顾呈现。
A 14-year-old girl with no significant medical history presented at Emergency Department with sore throat and odynophagia after one episode of nonviolent coughing. She denied any respiratory distress, voice change, foreign body ingestion, retching, substance abuse, dental procedures, or trauma. She was afebrile with normal oxygen saturation and physical examination including the head and neck was unremarkable with the exception of bilateral neck crepitus without tenderness on palpation. Fiberoptic laryngoscopy revealed a patent laryngeal airway with normal vocal fold movement. Lateral neck X-ray demonstrated a linear air-column in the retropharyngeal space and computed tomography confirmed emphysema involving the retropharyngeal space and mediastinum with no evidence of fluid collection or abscess formation. Spontaneous retropharyngeal and mediastinal emphysema are clinical entities where free air is present within the confines of retropharyngeal space and mediastinum without obvious cause. It is benign and self-limited in nature and allows for conservative management. This case is presented with a review of literature.