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(searched for: doi:10.26663/cts.2021.0001)
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Mubashar Iqbal, Ali Hussain, Zara Majeed, Husham Elfaki
Published: 3 September 2021
by BMJ
BMJ Case Reports, Volume 14; https://doi.org/10.1136/bcr-2021-244804

Abstract:
Primary pneumomediastinum is the presence of air in the interstitium of the mediastinum. The exact aetiology is unclear; nevertheless, it has been reported more frequently in patients with asthma and in individuals who use recreational drugs. It is commonly preceded by a sharp rise in intrathoracic pressure as in a Valsalva-like manoeuvre. We describe a rare case of severe pneumomediastinum with a small pneumothorax related to cannabis smoking and aggravated by vigorous sexual intercourse. The patient was successfully treated conservatively due to clinical and radiological stability and the absence of secondary cause.
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