Özet:

Pnömomediastinum (PM) is the presence of air in the mediasten. Spontaneous pneumediastinum (SPM) rarely causes symptoms and is usually identified by accident. SPM is a clinical condition that is more common in young men and often tends to self-healing. The clinic is very variable and can move from the plagues to life-threatening respiratory failure. The pain is a common symptom (80-90%) and localized in the substernal area. PM diagnosis is radiologically placed with standard PA and side lungs graphics. If the treatment is directed to the cause and it is necessary to be diagnosed quickly, early surgery should be carried out. In this article, we intended to draw attention to SPM in the breast pain distinctive diagnosis, by presenting a phenomenon with breast pain to the emergency service. Summary Pneumomediastinum (PM) is a term given to the situation when there is air in the mediastinum. Spontaneous pneumomediastinum (SPM) gives symptoms rarely and it is diagnosed coincidentally. SPM is seen frequently in young males and tend to heal spontaneously. Clinical appearance is unsteady spreads from ambiguous complaints to respiratory insufficiency which threatens life. Pain is the most common symptom and is substernally localized. PM is diagnosed by PA and lateral lung X-ray radiologically. Treatment must be based on cause and early surgery must be performed if needed. In this article, we aimed to present a case that has been admitted to the Emergency Department for chest pain and point to SPM in the differential diagnosis of chest pain.