An unusual case of abdominal pain: psychogenic vomiting complicated by spontaneous pneumomediastinum

BMC Pulmonary Medicine

Case Report

Biwen Mo¹  Shuyun Xu²  Decai Wang²  Lizong Rao³ 

[1]Department of Respiratory and Critical Care Medicine, Guangxi Zhuang Autonomous Region Education Department Key Laboratory of Respiratory Diseases, Guangxi Health Commission Key Laboratory of Glucose and Lipid Metabolism Disorders, Second Affiliated Hospital of Guilin Medical University, 212 Renmin Avenue, 541004, Guilin, Guangxi, China

[2]Department of Respiratory and Critical Care Medicine, Key Laboratory of Pulmonary Diseases of Health Ministry, Key Site of National Clinical Research Center for Respiratory Disease, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, 1095 Jiefang Avenue, 430030, Wuhan, Hubei, China

[3]Key Laboratory of Respiratory Disease of Zhejiang Province, Department of Respiratory and Critical Care Medicine, Second Affiliated Hospital of Zhejiang University School of Medicine, 310000, Hangzhou, Zhejiang, China

关键词: Abdominal pain;    Spontaneous pneumomediastinum;    Psychogenic vomiting;   

DOI  :  10.1186/s12890-023-02459-8

 received in 2022-12-01, accepted in 2023-04-28,  发布年份 2023

来源: Springer

【 摘 要 】

BackgroundSpontaneous pneumomediastinum (SPM) was defined by the appearance of free air in the mediastinum that was not preceded by trauma, surgery, or other medical procedures. Among the numerous manifestations of SPM, abdominal pain had seldom been described.Case presentationA 25-year-old man presented to the emergency department with nausea, vomiting, and abdominal pain for 7 days. The presenting clinical features and the radiological results were suggestive of psychogenic vomiting with spontaneous pneumomediastinum in a patient who suffered from abdominal pain.ConclusionsThe special feature of this case was the elucidation of a rare cause of abdominal pain, which should be differentiated in patients with vomiting combined with abdominal pain. The importance of this case was that its recognition may prevent unnecessary procedures to rule out or treat other causes of abdominal pain.

【 授权许可】

CC BY   
© The Author(s) 2023