Spontaneous Pneumomediastinum: Unusual Cause of Sore Throat

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A 14-year-old girl presented with sore throat and sudden progressive pain on both sides of the neck that was exacerbated by swallowing. Physical examination yielded subcutaneous emphysema distributed from shoulder to neck. The air leakage in paratracheal lesion and retropharyngeal space was identified on frontal and lateral neck radiography (Figure 1 , A and B). Computed tomography showed air streaks distributed from the anterior mediastinum to the Eustachian tube through neck (Figure 2, A-C). She had no complications, including asthma.

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