Journal
JOURNAL OF SPORTS SCIENCE AND MEDICINE
Volume 20, Issue 1, Pages 52-55Publisher
JOURNAL SPORTS SCIENCE & MEDICINE
Keywords
Spontaneous pneumomediastinum; adolescent; sports; chest pain; free air
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Spontaneous pneumomediastinum is a rare clinical disorder that often occurs in young people. Diagnosis is typically made through chest X-ray and CT scanning, and symptoms can be resolved within approximately one week in most cases.
Spontaneous pneumomediastinum (SPM) is an uncommon and usually benign self-limiting clinical disorder found in young people, often without apparent precipitating factors or diseases. A pressure gradient exists between the peripheral pulmonary alveoli and the hilum, and increased intra-alveolar pressure causes rupture of the terminal alveoli. We present the case of a 15-year-old male soccer player who presented with a complaint of anterior chest pain and dysphagia after stopping the strong ball with his chest. His symptom gradually progressed over hours. We can make the diagnosis of SPM using by chest X-ray and computed tomography (CT) scanning. His symptoms were gradually resolved over the course of approximately one week with no exercise and careful observation. We believe that our case provides very useful information to alert clinicians and coaches regarding this rare disease that may occur in anyone including adolescent soccer players.
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