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Management of Pneumomediastinum Associated with H1N1 Pneumonia: A Case Report

Bhavna P Singh

Bhavna P Singh

Fortis Hospitals, Department of Critical Care MedicineBangalore, India
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Singh, Bhavna P
, 
Gurucharan S Shetty

Gurucharan S Shetty

Fortis Hospitals, Department of RadiologyBangalore, India
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Shetty, Gurucharan S
, 
Padmakumar Arayamparambil Vijayan

Padmakumar Arayamparambil Vijayan

Fortis Hospitals, Department of Critical Care MedicineBangalore, India
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Vijayan, Padmakumar Arayamparambil
, 
Ullas Gopalakrishna

Ullas Gopalakrishna

Fortis Hospitals, Department of Critical Care MedicineBangalore, India
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Gopalakrishna, Ullas
, 
Garud Chandan

Garud Chandan

Fortis Hospitals, Department of Critical Care MedicineBangalore, India
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Chandan, Garud
, 
Ario Santini

Ario Santini

University of Medicine, Pharmacy, Sciences and Technology of Târgu Mureş, Romania; Hon Fellow, University ofEdinburgh, United Kingdom
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Santini, Ario
 and 
Vivek Padegal

Vivek Padegal

Fortis Hospitals, Department of PulmonologyBangalore, India
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Padegal, Vivek
  
Feb 04, 2019
Management of Pneumomediastinum Associated with H1N1 Pneumonia: A Case Report's Cover Image
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Article Category: Case Report
Published Online: Feb 04, 2019
Page range: 28 - 33
Received: May 27, 2018
Accepted: Dec 10, 2018
DOI: https://doi.org/10.2478/jccm-2019-0001
Keywords
© 2019 Bhavna P Singh, Gurucharan S Shetty, Padmakumar Arayamparambil Vijayan, Ullas Gopalakrishna, Garud Chandan, Ario Santini, Vivek Padegal, published by Sciendo
This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 License.

Fig. 1A

An axial section of the high resolution computed tomography chest image in a lung window showing patchy diffuse ground glass density s/o acute interstitial pneumonia.
An axial section of the high resolution computed tomography chest image in a lung window showing patchy diffuse ground glass density s/o acute interstitial pneumonia.

Fig. 1B

An axial section of the high resolution computed tomography chest image in a lung window showing Mediastinal emphysema (pneumomediastinum)
An axial section of the high resolution computed tomography chest image in a lung window showing Mediastinal emphysema (pneumomediastinum)

Fig. 1C

A coronal plane CT thorax showing extensive pneumomediastinum with peribronchial air (arrow) demonstrating the Macklin effect. Also we can see the continuous diaphragmatic sign.
A coronal plane CT thorax showing extensive pneumomediastinum with peribronchial air (arrow) demonstrating the Macklin effect. Also we can see the continuous diaphragmatic sign.

Fig. 2A

Chest xray showing extensive subcutaneous emphysema under both shoulders and pneumomediastinum.
Chest xray showing extensive subcutaneous emphysema under both shoulders and pneumomediastinum.

Fig. 2B

Complete resolution of above changes post bilateral intercostal drains.
Complete resolution of above changes post bilateral intercostal drains.
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