A rare cause of acute respiratory failure: spontaneous pneumomediastinum due to cocaine use

Spontan pnomomediastinum, altta yatan pulmoner patoloji olmaksizin mediastende serbest hava olmasi olarak tanimlanir. Spontan mediastinum, nadir gorulen bir klinik tablo olsa da saglikli genc bireylerde, ani ploretik gogus agrisinin en sik nedenlerinden biridir. Kokain inhalasyonu, spontan pnomomediastinum gelismesi ile de iliskilidir. Bu yazida, kokain kullanimina bagli akut solunum yetmezligi ile acil servisimize sevk edilen spontan pnomomediastenli 20 yasinda erkek hasta sunuldu ve hastaligin etyolojisi, klinik prezentasyonu ve tedavisi degerlendirildi. Anah tar soz cuk ler: Akut solunum yetmezligi; kokain; spontan pnomomediastinum. Spontaneous pneumomediastinum is defined as free air in mediastinum without any underlying pulmonary pathology. Although spontaneous pneumomediastinum is a rarely seen clinical entity, it is one of the most common reasons of sudden pleuritic chest pain in healthy young individuals. Cocaine inhalation is also associated with the development of spontaneous pneumomediastinum. Our case having spontaneous pneumomediastinum was referred to our emergency service with the complaint of acute respiratory failure due to cocaine abuse, and the etiology, clinical presentation and the treatment of the disease were evaluated in our study.