Pneumomediastinum and pneumopericardium in an 11-year-old rugby player : a case report

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Bibliographic Details
Title translated into German:Pneumomediastinum und Pneumoperikardium bei einem 11-jährigen Rugbyspieler : ein Fallbericht
Author:Vanzo, Valentina; Bugin, Samuela; Snijders, Deborah ; Bottecchia, Laura; Storer, Veronica; Barbato, Angelo
Published in:Journal of athletic training
Published:48 (2013), 2, S. 277-281, Lit.
Format: Publications (Database SPOLIT)
Publication Type: Journal article
Media type: Electronic resource (online) Print resource
ISSN:1062-6050, 0160-8320, 1938-162X
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Identification number:PU201305003291


Objective: Pneumomediastinum and pneumopericardium are rare occurrences in young athletes, but they can result in potentially life-threatening consequences. Background: While involved in a rugby match, an 11-year-old boy received a chest compression by 3 players during a tackle. He continued to play, but 2 hours later, he developed sharp retrosternal chest pain. A chest radiograph and an echocardiograph at the nearest emergency department showed pneumopericardium and pneumomediastinum. Differential Diagnosis: Sternal and rib contusions, rib fractures, heartburn, acute asthma exacerbation, pneumomediastinum, pneumopericardium, pneumothorax, traumatic tracheal rupture, myocardial infarction, and costochondritis (Tietze syndrome). Treatment: Acetaminophen for pain control. Uniqueness: To our knowledge, this is the only case in the international literature of the simultaneous occurrence of pneumomediastinum and pneumopericardium in a child as a consequence of blunt chest trauma during a rugby match. Conclusions: Pneumomediastinum and pneumopericardium may be consequences of rugby blunt chest trauma. Symptoms can appear 1 to 2 hours later, and the conditions may result in serious complications. Immediate admission to the emergency department is required. Verf.-Referat