| Spontaneous pneumomediastinum in anorexia nervosa: a case report and review of the literature on pneumomediastinum and pneumothorax. | |
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MedLine Citation:
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PMID: 20148397 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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We report a case of a 20-year-old white woman with the history of anorexia nervosa presenting with spontaneous pneumomediastinum (SPM). On admission, her body mass index (BMI) was 9.9 kg/m(2). Physical examination revealed subcutaneous crepitation especially in the axillae, the intercostal spaces, between the scapulae and along the spine. A chest X-ray showed extensive tissue emphysema, especially in the upper mediastinum. In a computed tomography (CT) scan, additional air was found in the upper retroperitoneal space adjacent to the stomach and to the left of the aorta. The patient recovered clinically within three weeks, and a CT scan showed a complete remission of the pneumomediastinum and subcutaneous emphysema. Based on this, case review of the literature about the frequency of pneumomediastinum in young patients with low weight is presented concerning epidemiology, etiology, symptoms, diagnosis, treatment, time to recovery and prognosis. |
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Authors:
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Achim Hochlehnert; Bernd L?we; Hans-Bernd Bludau; Mathias Borst; Stephan Zipfel; Wolfgang Herzog |
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Publication Detail:
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Type: Case Reports; Journal Article; Review |
Journal Detail:
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Title: European eating disorders review : the journal of the Eating Disorders Association Volume: 18 ISSN: 1099-0968 ISO Abbreviation: Eur Eat Disord Rev Publication Date: 2010 Mar |
Date Detail:
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Created Date: 2010-02-17 Completed Date: 2010-05-19 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9436977 Medline TA: Eur Eat Disord Rev Country: England |
Other Details:
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Languages: eng Pagination: 107-15 Citation Subset: IM |
Copyright Information:
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Copyright (c) 2010 John Wiley & Sons, Ltd., and Eating Disorders Association. |
Affiliation:
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Department of General Internal and Psychosomatic Medicine, University of Heidelberg, Medical University Hospital, Im Neuenheimer Feld 410, Heidelberg, Germany. Achim_Hochlehnert@med.uni-heidelberg.de |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Anorexia Nervosa
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complications*,
diagnosis,
radiography Body Mass Index Diagnosis, Differential Female Humans Mediastinal Emphysema / diagnosis, epidemiology, etiology* Pneumothorax / diagnosis, epidemiology, etiology* Rupture, Spontaneous Tomography, X-Ray Computed Young Adult |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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