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  • Title: Spontaneous pneumomediastinum, pneumopericardium and epidural pneumatosis: insights on clinical management.
    Author: Allen CJ, Teisch LF, Stahl KD.
    Journal: Acute Card Care; 2015 Mar; 17(1):20-3. PubMed ID: 25738399.
    Abstract:
    Spontaneous pneumomediastinum is a benign condition that has been reported, however the association with epidural pneumatosis is much less common. A 27-year-old male presented with concomitant air in the epidural space, mediastinum and pericardium after illicit drug use and engagement in sexual activity. The patient was hemodynamically stable. Non-invasive tests ruled out aerodigestive injury. The patient was discharged after a short observation without intervention. Invasive and potentially risky diagnostic tests may be safely avoided in patients who remain asymptomatic with this unique presentation.
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