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Case Reports in Gastrointestinal Medicine
Volume 2016, Article ID 4318015, 3 pages
Case Report

Pneumomediastinum Secondary to Barotrauma after Recreational Nitrous Oxide Inhalation

1Department of Upper Gastrointestinal Surgery, Broomfield Hospital, Mid Essex Hospital Services NHS Trust, Chelmsford, UK
2Department of Upper Gastrointestinal and Bariatric Surgery, Luton and Dunstable University Hospital, Luton, UK

Received 1 July 2016; Revised 3 October 2016; Accepted 18 October 2016

Academic Editor: I. Michael Leitman

Copyright © 2016 H. Jeddy et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


We present a case of a seventeen-year-old patient, admitted in the care of the surgical team following inhalation of nitrous oxide at high pressure, leading to extensive pneumomediastinum and surgical emphysema. We discuss the subsequent investigations and management for this patient. In the absence of history of airway injury and respiratory problems including asthma and with no oesophageal perforation on investigations, the diagnostic and management challenges encountered have been discussed which will help in future management of similar cases.