Snap, crackle and pop: when sneezing leads to crackling in the neck

Spontaneous perforation of the pharynx is an unusual condition. Due to its non-specific presentation and general lack of awareness, diagnosis and intervention may be delayed resulting in potential complications. This case reports a rare spontaneous perforation of the pyriform sinus after a forceful...

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Bibliographic Details
Published in:BMJ case reports 2018-01, Vol.2018, p.bcr-2016-218906
Main Authors: Yang, Wanding, Sahota, Raguwinder S, Das, Sudip
Format: Article
Language:English
Subjects:
Adult
Anti-Bacterial Agents - therapeutic use
Antibiotics
Case reports
Emphysema
Enteral Nutrition
Esophagus
Fistula
Humans
Infections
Male
Mediastinal Emphysema - diagnostic imaging
Mediastinal Emphysema - physiopathology
Medical imaging
Neck
Patients
Pharyngeal Diseases - diagnostic imaging
Pharyngeal Diseases - etiology
Pharyngeal Diseases - physiopathology
Pharynx - diagnostic imaging
Pharynx - injuries
Rare Disease
Rupture - complications
Rupture - diagnostic imaging
Rupture - physiopathology
Sepsis
Sinuses
Sneezing - physiology
Subcutaneous Emphysema - diagnostic imaging
Subcutaneous Emphysema - etiology
Subcutaneous Emphysema - physiopathology
Thorax
Tomography, X-Ray Computed
Trauma
Treatment Outcome
United Kingdom
Vertebrae
White
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Description
Summary:Spontaneous perforation of the pharynx is an unusual condition. Due to its non-specific presentation and general lack of awareness, diagnosis and intervention may be delayed resulting in potential complications. This case reports a rare spontaneous perforation of the pyriform sinus after a forceful sneeze, leading to cervical subcutaneous emphysema and pneumomediastinum.
ISSN:1757-790X
1757-790X
DOI:10.1136/bcr-2016-218906