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Subxiphoid Chest Tube Insertion for Extrapericardial Pneumomediastinum: A Simple and Effective Nonsurgical Treatment

Year: 2025

Type: article

Abstract: Extrapericardial pneumomediastinum (EPM) is a rare condition characterized by the accumulation of air in the mediastinum outside the pericardial sac. It may present with symptoms such as dysphonia, shortness of breath, and neck or chest pain; however, it is often asymptomatic. In the absence of a history of trauma or foreign body aspiration, treatment is usually supportive. The condition is generally benign and self-limiting. While conservative management is often satisfactory, more invasive interventions may be required in severe cases. We report a case of EPM secondary to trauma that was successfully treated with subxiphoid chest tube placement.

Source: Cureus

DOI: 10.7759/cureus.84733

Authors: Ananbabu Palaniappan, Farah Ghazali, Jazmine Mohd Ramzisham, Muhammad Ishamuddin Ismail, Mohd Ramzisham B Abdul Rahman

Institutions: University Kebangsaan Malaysia Medical Centre, National University of Malaysia, Royal College of Surgeons in Ireland

Language: English

Topic: Pneumothorax, Barotrauma, Emphysema

Subfield: Pulmonary and Respiratory Medicine

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: diamond

OpenAlex ID: W4410714596