Snap, crackle and pop: when sneezing leads to crackling in the neck

BMJ Case Rep. 2018 Jan 15:2018:bcr2016218906. doi: 10.1136/bcr-2016-218906.

Abstract

Spontaneous perforation of the pharynx is an unusual condition. Due to its non-specific presentation and general lack of awareness, diagnosis and intervention may be delayed resulting in potential complications. This case reports a rare spontaneous perforation of the pyriform sinus after a forceful sneeze, leading to cervical subcutaneous emphysema and pneumomediastinum.

Keywords: emergency medicine; otolaryngology / ent; radiology.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Anti-Bacterial Agents / therapeutic use
  • Enteral Nutrition
  • Humans
  • Male
  • Mediastinal Emphysema / diagnostic imaging*
  • Mediastinal Emphysema / physiopathology
  • Pharyngeal Diseases / diagnostic imaging*
  • Pharyngeal Diseases / etiology
  • Pharyngeal Diseases / physiopathology
  • Pharynx / diagnostic imaging*
  • Pharynx / injuries
  • Rupture / complications
  • Rupture / diagnostic imaging*
  • Rupture / physiopathology
  • Sneezing* / physiology
  • Subcutaneous Emphysema / diagnostic imaging*
  • Subcutaneous Emphysema / etiology
  • Subcutaneous Emphysema / physiopathology
  • Tomography, X-Ray Computed
  • Treatment Outcome

Substances

  • Anti-Bacterial Agents