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Valsalvainduceret subkutant emfysem, pneumomediastinum og pneumorakis hos en ung mand

Forfatter(e)
Mads J. Niemann
Børne- og Ungeafdelingen, Holbæk Sygehus

Ugeskr Læger 2019;181:V10180693

Reference: 
Ugeskr Læger 2019;181:V10180693
Blad nummer: 

Mads J. Niemann:

Valsalva-induced subcutaneous emphysema, pneumomediastinum and pneumorrhachis in a young man

Ugeskr Læger 2019;181:V10180693

In this case report, a 19-year-old man was admitted due to uncontrollable, aggressive behaviour and suspected drug intoxication. He had been using Valsalva manoeuvres repeatedly. A physical examination revealed subcutaneous crepitations. There were no signs of trauma or organ perforation, but a CT scan showed a minor pneumothorax along with pneumomediastinum, pneumorrhachis and widespread subcutaneous emphysema. The pneumothorax was treated conservatively. Valsalva-induced subcutaneous emphysema has previously been reported in numerous studies, but Valsalva-induced pneumorrachis is a rare condition.

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