Article Text

Case of chest pain in a young man
  1. Ankit Gupta1,
  2. Atul Vijay Palkar1,
  3. Priya Narwal2
  1. 1Pulmonary and Critical Care Medicine, Hartford HealthCare, Hartford, Connecticut, USA
  2. 2Rhode Island Hospital, Providence, Rhode Island, USA
  1. Correspondence to Dr Ankit Gupta, ankitguptapulmonary{at}


A young man with a history of smoking presented with acute-onset chest pain after lifting weights. He also noticed a change in his voice, tightness in his neck and difficulty breathing. A chest radiograph showed soft tissue emphysema in the neck. A CT scan of the chest revealed moderate amount of pneumomediastinum tracking into the neck and down to the diaphragm. He was haemodynamically stable and had no hypoxia or dysphagia. He was monitored for 48 hours and discharged home after resolution of his symptoms. A chest radiograph repeated after 6 weeks was normal.

  • respiratory system
  • trauma
  • adult intensive care
  • accidents, injuries

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  • Contributors AG, AVP and PN were all involved in writing the manuscript, literature review and proof-reading.

  • Competing interests None declared.

  • Patient consent Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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