A case of spontaneous pneumomediastinum

Introduction: Spontaneous pneumomediastinum is described as the presence of air in the mediastinum without any specific etiological factor ortrauma, and it is a rare clinical situation. In this case report, a rare case of spontaneous pneumomediastinum was presented. Case report: A 23-year-old male patient was admitted to our emergency department with the complaints of throat congestion, difficulty in breathing and chest pain while playing soccer. An increase of linear-type transparency starting from the right paratracheal area and extending to the mediastinum, and a subcutaneous emphysema in the neck region were detected on the posteroanterior (PA) chest X-ray of the patient, which is compatible with pneumomediastinum (PM). Conclusion: History, systemic examination and radiological imaging are very important for the patients with chest pain. Spontaneous pneumomediastinum should betaken into consideration in the differential diagnosis of chest pain and breathing distress.