Spontaneous pneumomediastinum after kidney transplantation: Case report

A. Kis, Z. Sutto, L. Tamasi, N. Eszes, G. Losonczy, Z. Mathe, R. M. Langer, A. Nemeth, V. Muller

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Abstract

Spontaneous pneumomediastinum is a rare condition with nonspecific signs and symptoms. A 39-year-old underwent cadaver kidney transplantation. After an uncomplicated operation, progressive dyspnea of unknown origin developed. Findings at chest radiography suggested pneumomediastinum, which was confirmed at computed tomography. Esophageal or tracheal injury was ruled out. The rapidly developing atelectasis of the left lung necessitated urgent bronchoscopy, which revealed occlusion of the left main bronchus. After removal of the occluding mucus plug, the clinical symptoms immediately improved, and the spontaneous pneumomediastinum resolved within 3 days. Asymptomatic increase in airway secretions in patients receiving peritoneal dialysis may result in mucus plug formation during general anesthesia, which can cause spontaneous pneumomediastinum.

Original languageEnglish
Pages (from-to)2350-2352
Number of pages3
JournalTransplantation proceedings
Volume42
Issue number6
DOIs
Publication statusPublished - Jul 1 2010

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ASJC Scopus subject areas

  • Surgery
  • Transplantation

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