Spontaneous Pneumomediastinum in a Patient With Undiagnosed Ankylosing Spondylitis
Ravindra Tagore Reddy Chilukuru, J Aarthi, Vishnupriya Vuchuru, Akhil Neela, Vidya T A
TL;DR
A 23-year-old man with undiagnosed ankylosing spondylitis was found to have rare spontaneous pneumomediastinum, a condition involving air in the chest area.
Contribution
This case highlights the rare co-occurrence of spontaneous pneumomediastinum and ankylosing spondylitis.
Findings
The patient was diagnosed with SPM and ankylosing spondylitis using chest CT and spinal MRI.
The case is unique due to the rare combination of SPM and underlying AS.
Conservative treatment was effective for the patient's condition.
Abstract
Spontaneous pneumomediastinum (SPM) is an uncommon condition characterized by air in the interstices of the mediastinum. Management generally involves supportive care; however, if a patient inspires high concentrations of oxygen, the mediastinal air will be absorbed faster. A 23-year-old man who presented with acute-onset breathlessness with a history of more than a year of lower backache was diagnosed with SPM and accompanying ankylosing spondylitis (AS) by a chest CT and spinal MRI and was treated conservatively. This case is being reported for its uniqueness, as SPM with underlying AS is rare.
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Taxonomy
TopicsPneumothorax, Barotrauma, Emphysema · Trauma Management and Diagnosis · Pleural and Pulmonary Diseases