استرواح المنصف مع الربو أو مرض الانسداد الرئوي المزمن الموجود مسبقاً: عند فشل الإدارة المحافظة في تحقيق الاستقرار

References

DOI: 10.3978/j.issn.2072-1439.2015.01.11

• The presence of air in the mediastinum is considered as secondary pneumomediastinum when a causative factor is identified.
• Respiratory diseases may lead to pneumomediastinum, especially at periods of exacerbation with excessive coughing i.e., in asthma or respiratory infections.
• In such cases VATS or even thoracotomy may be essential for decompression.
• The development of pneumopericardium may very rarely cause tamponade which might require surgical evacuation by subxiphoid incision or VATS.
• Other complications of pneumomediastinum include extensive subcutaneous emphysema or pneumothorax, which usually require minor interventions, such as skin incisions and chest tube drainage.