Pneumomediastinum and bilateral pneumothorax following near drowning in shallow water

  • Santhiya Govindaraj Pondicherry Institute of Medical Sciences, Kalapet, Pondicherry, India.
  • Stalin Viswanathan | stalinviswanathan@ymail.com Pondicherry Institute of Medical Sciences, Kalapet, Pondicherry, India.

Abstract

We report pneumomediastinum, bilateral pneumothorax and acute respiratory distress syndrome in a victim of near drowning who was intoxicated and did not have thoracic or neck trauma. Chest radiograph revealed the above findings, later confirmed by computed tomography. He was in shock and also had gastrointestinal (GI) bleeding and renal dysfunction. With adequate resuscitative measures including fluids, blood transfusions, intercostal tube drainage and mechanical ventilation he made a complete recovery. Good prognostic indicators in near drowning patients include higher Glasgow Coma Scale, short submersion time and quick resuscitative measures even in the presence of serious cardiorespiratory or hemodynamic compromise.

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Author Biography

Stalin Viswanathan, Pondicherry Institute of Medical Sciences, Kalapet, Pondicherry
Department of Internal Medicine
Published
2011-10-03
Section
Case Reports
Keywords:
near drowning, pneumomediastinum, acute respiratory distress syndrome, complications.
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How to Cite
Govindaraj, S., & Viswanathan, S. (2011). Pneumomediastinum and bilateral pneumothorax following near drowning in shallow water. Clinics and Practice, 1(3), e70. https://doi.org/10.4081/cp.2011.e70