ReviewJournal of cardiothoracic surgery2026
Clinical characteristics of 40 patients with spontaneous pneumomediastinum: a retrospective study and literature review.
Review in Journal of cardiothoracic surgery, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
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Who cites it
2 citing papers in PubMed.
- When Asthma Leads to Air: Pneumomediastinum in a Child.Children (Basel, Switzerland) · 2026Article
- Routine fluoroscopic esophagography does not change clinical management of patients initially diagnosed with spontaneous pneumomediastinum: a dual-center retrospective study.Journal of thoracic disease · 2026Article
Corrections and comments
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Authors and funding
5 authors.
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Abstract
objectiveTo investigate the clinical characteristics and imaging features of patients with spontaneous pneumomediastinum (SPM) and conduct a literature review to provide reference strategies for the diagnosis and treatment of the affected population.
methodsA retrospective analysis was conducted on patients diagnosed with SPM via chest computed tomography (CT) at our Hospital from January 2022 to December 2023. General information, clinical manifestations, and imaging findings were collected and analyzed. Relevant domestic and international literature was reviewed, and a comparative analysis was performed.
resultsA total of 40 patients were included in this study. Acute retrosternal pain was the most common symptom (45.0%), followed by varying degrees of dyspnea, shortness of breath, and chest tightness (25.0%), persistent coughing (17.5%), and discomfort or pain in the neck and throat (5%). The Macklin effect was observed in 38 patients, characterized by varying degrees of gas accumulation around the mediastinum near the pulmonary hilum. After three days of treatment, the symptoms resolved, and follow-up chest CT scans indicated absorption of mediastinal gas. Patients showed improvement and were discharged.
conclusionThe clinical manifestations of SPM are complex and diverse, making it prone to clinical misdiagnosis or delayed diagnosis, which may hinder timely treatment. Chest CT is instrumental in the accurate diagnosis of mild mediastinal emphysema. A comprehensive evaluation, incorporating patient complaints and clinical symptoms with chest CT findings, is essential for accurate diagnosis.
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