Pneumomediastinum Complicating Diabetic Ketoacidosis and Boerhaave's Syndrome.
An 18-year-old man presented with altered mental status. He was found to have diabetic ketoacidosis. Chest X-ray showed pneumomediastinum. After intubation for air-way protection, an oral-gastric tube was placed. A chest computed tomography scan showed the tip of the oral-gastric tube to be in the right hemithorax. The patient underwent a thoracotomy and was managed in the intensive care unit. Both diabetic ketoacidosis and Boerhaave's syndrome should be considered as possible causes of pneumomediastinum in a patient with similar presentation. Boerhaave's syndrome should be ruled out prior to the insertion of an oral-gastric tube to avoid further morbidities.
Published In/Presented At
Alkhuja, S., Gazizov, N., & Charles, G. (2013). Pneumomediastinum Complicating Diabetic Ketoacidosis and Boerhaave's Syndrome. Case reports in medicine, 2013, 598720. https://doi.org/10.1155/2013/598720
Medicine and Health Sciences
Department of Medicine