An unusual etiology of abdominal pain and spontaneous pneumomediastinum in a young adult

Among numerous manifestations of diabetic ketoacidosis (DKA), spontaneous pneumomediastinum (SPM) has seldom been described. It usually has a benign character and usually is a self-limited condition. Recently, we encountered a young adult complained of abdominal pain with interesting radiologic findings of SPM, a complication of DKA. We describe our case and review the previous literature.