Abstract
Pneumomediastinum is presence of air or other gas in the mediastinum. Also known as mediastinal emphysema, is one of several forms of aberrant extra-alveolar air [1]. Obstructive lung diseases, especially acute asthma, is a well described predisposing factor leading to pneumomediastinum [2]. A 22-year male, known case of bronchial asthma presented with productive cough and cold since 2 days, breathlessness and wheezing since 1 day, Chest pain and pain in neck since 2 hours. Physical examination revealed bilateral ronchi and subcutaneous emphysema of neck and right upper chest. CT thorax showed Pneumomediastinum and subcutaneous emphysema. Patient was treated with high ow oxygen via NRBM mask and bronchodilators. Successive CT thorax showed resolution of Pneumomediastinum and subcutaneous emphysema and no evidence of oesophageal rupture. Patient was discharged after 7 days
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