Pneumomediastinum (PM) is the presence of air in the mediastinum. It is uncommon in children and has multiple possible etiologies. A 14 year old male presented to the emergency department with neck and chest pain for 4 h after eating a Corn chip. On physical exam we elicited a crepitus over the left anterior and lateral cervical areas. Chest and Neck X-rays showed a PM. He was admitted for close monitoring and observation in the pediatric intensive care unit and was discharged after he clinically improved. Management is supportive and complications are possible but rare.
Tarik Zahouani, Sandra Lopez, Clarissa Reynoso, Yenimar Ventura, Magda Mendez