TURK PEDIATRI ARSIVI-TURKISH ARCHIVES OF PEDIATRICS, cilt.48, sa.4, ss.336-338, 2013 (ESCI, Scopus, TRDizin)
Spontaneous pneumomediastinum is the presence of free air in the mediastinum without any identifiable etiology like trauma or invasive procedure. Hower thoracic pain is the major complaint. The symptom triad of thoracic pain, dyspnea and subcutaneous emphysema is typical. We present a 13-year old young male presenting to the emergency room with a complaint of thoracic pain. Physical examination was unremarkable except for Hamman's sign. Examinations including chest x-ray revealed pneumomediastinum. In this case, when evaluating thoracic pain, we aimed to emphasize the importance of pyhsical examination particulary the cardiac auscultation.