» Articles » PMID: 34917373

Spontaneous Pneumomediastinum Mimicking Acute Pericarditis

Overview
Journal Clin Case Rep
Date 2021 Dec 17
PMID 34917373
Citations 2
Authors
Affiliations
Soon will be listed here.
Abstract

ST elevations on electrocardiogram (ECG) have a broad differential diagnosis that can vary from benign to more ominous pathologies. These include early repolarization, coronary vasospasm, acute pericarditis, ST-elevation myocardial infarction, ventricular aneurysms, and dissecting aneurysm of the aorta reaching the pericardium. ST-segment changes may also provide a clue to the presence of spontaneous pneumomediastinum (SPM). These ECG changes are seldom reported in literature. We describe two SPM cases with concomitant pneumopericardium that closely mimicked acute pericarditis with a deceptive clinical spectrum.

Citing Articles

A clinical review of spontaneous pneumomediastinum.

Susai C, Banks K, Alcasid N, Velotta J Mediastinum. 2024; 8:4.

PMID: 38322193 PMC: 10839511. DOI: 10.21037/med-23-25.


Spontaneous pneumomediastinum mimicking acute pericarditis.

Chaudhary H, Yousaf Z, Nasir U, Waheed T, Syed K Clin Case Rep. 2021; 9(12):e05156.

PMID: 34917373 PMC: 8643493. DOI: 10.1002/ccr3.5156.

References
1.
Vidi V, Singh P, Alhumaid A, Lee R, Kinnunen P . Hydropneumopericardium presenting as an acute coronary syndrome: a rare complication of paraesophageal hernia. Tex Heart Inst J. 2009; 36(3):255-8. PMC: 2696510. View

2.
Chaudhary H, Yousaf Z, Nasir U, Waheed T, Syed K . Spontaneous pneumomediastinum mimicking acute pericarditis. Clin Case Rep. 2021; 9(12):e05156. PMC: 8643493. DOI: 10.1002/ccr3.5156. View

3.
Wintermark M, Schnyder P . The Macklin effect: a frequent etiology for pneumomediastinum in severe blunt chest trauma. Chest. 2001; 120(2):543-7. DOI: 10.1378/chest.120.2.543. View

4.
Zimmermann A, Rafii S, Strom J . Subcutaneous emphysema and pneumomediastinum: a cause of low-voltage electrocardiogram. Heart Dis. 2002; 3(2):85-6. DOI: 10.1097/00132580-200103000-00005. View

5.
Engelmann M, Hasbak P . [Early repolarization. Differential diagnosis of electrocardiographic ST segment elevation]. Ugeskr Laeger. 2000; 162(44):5914-7. View