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Case Reports
. 2021 Jan 15;203(2):237-238.
doi: 10.1164/rccm.202008-3376IM.

Pneumomediastinum in Acute Respiratory Distress Syndrome from COVID-19

Matthew F Mart  1   2 , Stephanie G Norfolk  1 , Lisa N Flemmons  1 , John W Stokes  3   4 , Matthew D Bacchetta  3   4 , Anil J Trindade  1 , Jonathan D Casey  1 , Matthew W Semler  1 , E Wesley Ely  1   2 , Michael J Noto  1
Affiliations
Case Reports

Pneumomediastinum in Acute Respiratory Distress Syndrome from COVID-19

Matthew F Mart et al. Am J Respir Crit Care Med. .
No abstract available

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Figures

Figure 1.
Figure 1.
Chest radiographs from five patients with coronavirus disease (COVID-19) acute respiratory distress syndrome who developed pneumomediastinum. (A) A 55-year-old man with pneumomediastinum (arrows) and pneumopericardium. (B) A 58-year-old man with pneumomediastinum and significant pneumopericardium (arrow). (C) A 43-year-old man with extensive subcutaneous emphysema and pneumomediastinum. (D) A 54-year-old man with pneumomediastinum and extensive subcutaneous emphysema notable in right axilla and across right chest wall. (E) A 61-year-old man with pneumomediastinum and significant supraclavicular subcutaneous emphysema (arrows). This patient had evidence of pneumomediastinum 24 hours before endotracheal intubation. L = left.
Figure 2.
Figure 2.
Noncontrast computed tomographic chest image of a 54-year-old man with coronavirus disease (COVID-19) acute respiratory distress syndrome (ARDS). Extensive bilateral ground glass opacification and consolidation is present, consistent with his known ARDS. Significant pneumomediastinum is demonstrated in addition to extensive subcutaneous emphysema across the chest, arms, and back. Subcutaneous emphysema in this patient extended cephalad into the neck and caudally to the level of the pelvis and scrotum.
See this image and copyright information in PMC

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