DOI QR코드

DOI QR Code

Spontaneous Pneumomediastinum: An Unusual Pulmonary Complication in Anorexia Nervosa

  • Lee, Kyung-Jin (Department of Internal Medicine, Inje University Sanggye Paik Hospital, Inje University College of Medicine) ;
  • Yum, Ho-Kee (Department of Internal Medicine, Inje University Sanggye Paik Hospital, Inje University College of Medicine) ;
  • Park, I-Nae (Department of Internal Medicine, Inje University Sanggye Paik Hospital, Inje University College of Medicine)
  • 투고 : 2015.02.04
  • 심사 : 2015.04.09
  • 발행 : 2015.10.30

초록

Spontaneous pneumomediastinum (PM) is an uncommon condition in which free air enters the mediastinum. This usually occurs either through esophageal tears after vigorous vomiting, or after alveolar rupture subsequent to a rapid increase in intra-alveolar pressure. Spontaneous PM is a rare entity in anorexia nervosa (AN) and self-induced vomiting is often the cause of PM in patients with AN. We experienced a case of spontaneous PM in an anorexic adolescent, in whom vomiting was not the cause of PM.

키워드

참고문헌

  1. Murayama S, Gibo S. Spontaneous pneumomediastinum and Macklin effect: overview and appearance on computed tomography. World J Radiol 2014;6:850-4. https://doi.org/10.4329/wjr.v6.i11.850
  2. Al-Mufarrej F, Badar J, Gharagozloo F, Tempesta B, Strother E, Margolis M. Spontaneous pneumomediastinum: diagnostic and therapeutic interventions. J Cardiothorac Surg 2008;3:59. https://doi.org/10.1186/1749-8090-3-59
  3. Macia I, Moya J, Ramos R, Morera R, Escobar I, Saumench J, et al. Spontaneous pneumomediastinum: 41 cases. Eur J Cardiothorac Surg 2007;31:1110-4. https://doi.org/10.1016/j.ejcts.2007.03.008
  4. Overby KJ, Litt IF. Mediastinal emphysema in an adolescent with anorexia nervosa and self-induced emesis. Pediatrics 1988;81:134-6.
  5. Folsom T, Realmuto G. Pneumomediastinum in an adolescent female with anorexia nervosa. Int J Eat Disord 1984;3:67-70. https://doi.org/10.1002/1098-108X(198422)3:4<67::AID-EAT2260030408>3.0.CO;2-O
  6. van Veelen I, Hogeman PH, van Elburg A, Nielsen-Abbring FW, Heggelman BG, Mahieu HF. Pneumomediastinum: a rare complication of anorexia nervosa in children and adolescents: a case study and review of the literature. Eur J Pediatr 2008;167:171-4. https://doi.org/10.1007/s00431-007-0444-9
  7. Lin LY, Kwok CF, Tang KT, Ho LT, Lin HD. Diffuse soft tissue emphysema in anorexia nervosa: a case report. Int J Eat Disord 2005;38:277-80. https://doi.org/10.1002/eat.20170
  8. Filosso PL, Garabello D, Lyberis P, Ruffini E, Oliaro A. Spontaneous pneumomediastinum: a rare complication of anorexia nervosa. J Thorac Cardiovasc Surg 2010;139:e79-80. https://doi.org/10.1016/j.jtcvs.2008.04.037
  9. Goldstein MA, Herzog DB, Misra M, Sagar P. Case records of the Massachusetts General Hospital. Case 29-2008. A 19-year-old man with weight loss and abdominal pain. N Engl J Med 2008;359:1272-83. https://doi.org/10.1056/NEJMcpc0804641
  10. Adson DE, Crow SJ, Mitchell JE. Spontaneous pneumothorax in anorexia nervosa. Psychosomatics 1998;39:162-4. https://doi.org/10.1016/S0033-3182(98)71363-5
  11. Corless JA, Delaney JC, Page RD. Simultaneous bilateral spontaneous pneumothoraces in a young woman with anorexia nervosa. Int J Eat Disord 2001;30:110-2. https://doi.org/10.1002/eat.1061
  12. Fergusson RJ, Shaw TR, Turnbull CM. Spontaneous pneumomediastinum: a complication of anorexia nervosa? Postgrad Med J 1985;61:815-7. https://doi.org/10.1136/pgmj.61.719.815
  13. Coxson HO, Chan IH, Mayo JR, Hlynsky J, Nakano Y, Birmingham CL. Early emphysema in patients with anorexia nervosa. Am J Respir Crit Care Med 2004;170:748-52. https://doi.org/10.1164/rccm.200405-651OC
  14. Massaro D, Massaro GD, Baras A, Hoffman EP, Clerch LB. Calorie-related rapid onset of alveolar loss, regeneration, and changes in mouse lung gene expression. Am J Physiol Lung Cell Mol Physiol 2004;286:L896-906. https://doi.org/10.1152/ajplung.00333.2003
  15. Winick M. Hunger disease: studies by the Jewish physicians in the Warsaw Ghetto. New York: Wiley; 1979. p. 221-3.

피인용 문헌

  1. Anorexia nervosa with massive pulmonary air leak and extraordinary propagation vol.50, pp.4, 2017, https://doi.org/10.1002/eat.22674
  2. Spontaneous pneumomediastinum in young women: Comparison between anorexia nervosa and nonanorexic patients vol.18, pp.5, 2015, https://doi.org/10.1002/jgf2.43
  3. Medical Complications of Anorexia Nervosa and Bulimia Nervosa vol.42, pp.2, 2019, https://doi.org/10.1016/j.psc.2019.01.009
  4. A Comprehensive Review of Complications and New Findings Associated with Anorexia Nervosa vol.10, pp.12, 2021, https://doi.org/10.3390/jcm10122555