ATYPICAL PRESENTATION OF SPONTANEOUS PNEUMOMEDIASTINUM

Spontaneous pneumomediastinum is a rare clinical entity; when diagnosi s is certain, no treatment is required and symptoms rarely recur. The clinical presentation is usually diagnostic; however, atypical symptom s may mandate further investigation before diagnosis can be establishe d. We describe 2 patients with spontaneous pneumomediastinum who prese nted with dominant esophageal symptoms (odynophagia and dysphagia) sug gestive of esophageal. perforation. Investigation and management are d iscussed.