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Spontaneous pneumomediastinum in a marathon runner
  1. D A Townes
  1. Correspondence to:
 D A Townes
 Emergency Medicine, University of Washington, Seattle, WA, USA; townesd{at}


A previously healthy 19 year old male presented to the emergency department complaining of soreness in his neck, difficulty taking a deep breath, and a “crinkly feeling” in his neck and upper chest after running a marathon. He was diagnosed with spontaneous pneumomediastinum. He did not require any intervention or hospitalisation and made a full recovery.

  • chest pain
  • distance running
  • pneumomediastinum

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  • Competing interests: none declared

  • Informed consent was obtained for publication of the person’s details in this report