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KMID : 0383820080650030222
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Tuberculosis and Respiratory Diseases
2008 Volume.65 No. 3 p.222 ~ p.224
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A Case of Spontaneous Pneumomediatsinum during Taekwondo
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Jeon Ho-Seok
Han Min-Soo
Moon Kyoung-Min
Lee Yang-Deok
Cho Yong-Seon
Na Dong-Jib
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Abstract
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Spontaneous pneumomediastinum is defined as a clinical syndrome that’s characterized by the presence of air
in the mediastinal space, which is not due to an old previous injury or surgery. The condition is caused by a
sustained increase in the intraalveolar and intrabronchial pressure with extravasated air dissecting along the
perivascular spaces of the mediastinum. This is an uncommon complication of sports activity. The most common
symptom is chest pain. This diagnosis should be considered for younger people who present with pleuritic chest
pain or dyspnea and a characteristic crackling feel (known as subcutaneous crepitation) when touching of the
skin covering the chest wall or neck, and they look otherwise well with normal vital signs. Usually no treatment
is required, but the mediastinal air will be absorbed faster if the patient inspires high concentrations of oxygen.
We present here a case of spontaneous pneumomediastinum that occurred during a Taekwondo match, along
with a review of the relevant literature.
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KEYWORD
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Spontaneous pneumomediastinum, Chest pain, Oxygen
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