Guerra-Uribe NB, Enríquez- Ocaña JC, Díaz-Jouanen E, Manzano AF

Language: Spanish
References: 25
Page: 522-525
PDF size: 185.14 Kb.

ABSTRACT

Spontaneous pneumomediastinum as a complication in ketoacidosis is a rare entity. We describe a patient whose clinical presentation guided the diagnostic imaging studies that confirmed this suspicion and rule out other differential diagnosis. We reviewed the literature finding relevant clinical and pathophysiologic information. It is vital to maintain a high suspicion index in young patients diagnosed with type one diabetes who present with vomiting, Kussmaul breathing, chest pain and Hamman’s sign. The diagnostic approach should include lateral and posteroanterior chest X-rays. The treatment is to correct ketoacidosis.

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