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Vol. 14. Issue 4.
Pages 179-181 (October - December 1978)
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Vol. 14. Issue 4.
Pages 179-181 (October - December 1978)
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Neumomediastino idiopatico espontaneo comentarios a proposito de un caso
Spontaneous idiopathic pneumomediastinum. Comments based on one case
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V. Montagut, D. Bofill, A. Grau, B. Cabrer, F. Bertomeu, I. Rodríguez, E. Simó
Servicio de Medicina Interna. Residencia Sanitaria «Virgen de la Cinta». Tortosa (Tarragona)
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Resumen

Se describe un caso de neumomediastino espontáneo idiopático en una paciente de 67 años afecta de marcado hipotiroidismo, que hizo su aparición a las 48 horas de iniciar la terapéutica con triyodotonina.

Se discute la etiología y los mecanismos fisiopatológicos que lo sustentan, así como las manifestaciones clínicas a que da lugar su instauración, comentándose las peculiaridades del caso expuesto, debidas probablemente a la aparición de un importante enfisema subcutáneo. La falta de exploraciones complementarias que confirmen el diagnóstico, a excepción de la radiología, confieren a la historia clínica y exploración singular importancia para establecer el diagnóstico del proceso.

Summary

The authors describe one case of idiopathic spontaneous pneumomediastinum in a 67 year old patient, affected with marked hypothyroidism that appeared 48 hours after beginning therapy with triiodothyronine.

Lhey then discuss the etiology and the physiopathological mechanism that maintain them as well as the clinical maniofestations that its onset produces, and the peculiarities of the described case, probably due to the appearance of an important subcutaneous emphysema. The lack of complementary explorations that confirm the diagnosis, with the exception of radiology, give the clinical history and exploration great importance for establishing the diagnosis of the process.

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Copyright © 1978. Sociedad Española de Neumología y Cirugía Torácica
Archivos de Bronconeumología
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