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  • Title: Pneumomediastinum and subcutaneous emphysema as the manifestation of emphysematous pyelonephritis.
    Author: Wang YC, Wang JM, Chow YC, Chiu AW, Yang S.
    Journal: Int J Urol; 2004 Oct; 11(10):909-11. PubMed ID: 15479300.
    Abstract:
    Pneumomediastinum, a collection of mediastinal air, often results from the rupture of intrathoracic structures. A 41-year-old diabetic woman initially presented with signs of pneumomediastinum and nuchal subcutaneous emphysema, but was finally diagnosed with unilateral emphysematous pyelonephritis. Pneumomediastinum as a presentation in retroperitoneal infection has not been reported previously, which prompts us to discuss its etiology and emphasize the importance of physical examination.
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