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Spontaneous pneumomediastinum in a patient with bronchiolitis obliterans after bone marrow transplantation

Abstract

After allogeneic bone marrow transplantation for chronic myelogenous leukemia, spontaneous pneumomediastinum and subcutaneous emphysema developed in a patient with bronchiolitis obliterans. Computed tomography scanning of the chest failed to reveal the cause. There was no evidence of a pulmonary process, pneumothorax, or pharyngeal or upper airway leak. Despite the alarming appearance of the patient, conservative management, including high-flow oxygen, resulted in resolution of the pneumomediastinum and subcutaneous emphysema. The cause of pneumomediastinum and subcutaneous emphysema in bone marrow transplant recipients is discussed.

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Galanis, E., Litzow, M., Tefferi, A. et al. Spontaneous pneumomediastinum in a patient with bronchiolitis obliterans after bone marrow transplantation. Bone Marrow Transplant 20, 695–696 (1997). https://doi.org/10.1038/sj.bmt.1700939

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  • DOI: https://doi.org/10.1038/sj.bmt.1700939

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