Spontaneous pneumomediastinum: A collaborative sequelae between COVID‐19 and self‐inflicted lung injury ‐ A case report and literature review |
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| Authors: | Abdul Rahman Al Armashi Francisco J. Somoza-Cano Kanchi Patell Mohamed Homeida Omkar Desai Anas Al Zubaidi Basel Altaqi Keyvan Ravakhah |
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| Affiliation: | aSt. Vincent Charity Medical Center, Cleveland, OH, USA;bYale University School of Medicine, New Haven, CT, USA;cBaptist Health North Little Rock North Little Rock, North Little Rock, AR, USA |
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| Abstract: | Spontaneous pneumomediastinum is an infrequent complication of COVID-19. The mechanism is still unknown and thought to be related to patient self-inflicted lung injury. Our patient is a 49-year-old male who presented with shortness of breath and cough. A COVID-19 Polymerase Chain Reaction was positive. He required a high-flow nasal cannula, but he did not demand mechanical ventilation. Computed tomography angiography scan of the chest revealed pneumomediastinum. He was managed conservatively, and a complete recovery was achieved. This case highlights the emerging association of COVID-19, patient self-inflicted lung injury, and pneumomediastinum. Furthermore, spontaneous pneumomediastinum should be suspected even in patients who were not mechanically ventilated. |
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| Keywords: | COVID-19 Sars-cov-2 Spontaneous Pneumomediastinum Patient Self-Inflicted Lung Injury (PSILI) Pneumomediastinum |
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