Idiopathic Spontaneous Pneumomediastinum

      A 25-year-old Singaporean male presented to the emergency department with sudden throat and chest pain. He had no known past medical or surgical history and was not on any chronic medications or supplementations. He was a lifelong nonsmoker and did not use recreational drugs. His throat pain started while he was eating dinner and was associated with dysphagia, odynophagia with both liquids and solids, and rhinolalia. His chest pain was pleuritic in nature and was not associated with any shortness of breath or diaphoresis. Otherwise, he did not sustain any chest trauma, undergo any vigorous exercise, or have a diving history. He also did not have any vomiting, diarrhea, abdominal pain, hematemesis, fever, cough, hemoptysis, night sweats, weight loss, per rectal bleeding, or melena. He had no personal or family history of any connective tissue or pulmonary disorders.


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