{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T23:27:00Z","timestamp":1787009220759,"version":"build-2736575974"},"reference-count":6,"publisher":"Oxford University Press (OUP)","issue":"7-8","license":[{"start":{"date-parts":[[2022,10,15]],"date-time":"2022-10-15T00:00:00Z","timestamp":1665792000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2023,7,22]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>Spontaneous pneumomediastinum is a rare and self-limiting clinical entity, often triggered by activities causing acute changes in intrathoracic pressure such as childbirth, strenuous exercise, vomiting, and coughing. We present a case of a young male soldier who developed spontaneous pneumothorax following persistent yelling while attending a soccer match. Spontaneous pneumomediastinum may be preceded by a variety of strenuous activities, and clinicians should be aware of this entity when performing the evaluation of patients with nonspecific symptoms such as chest pain and dyspnea. Patients diagnosed with pneumomediastinum but presenting with additional findings such as vomiting and pleural effusion should be thoroughly evaluated to rule out potentially life-threatening mediastinal organ injury. Return to military duty should be determined by clinical reevaluation and follow-up imaging findings.<\/jats:p>","DOI":"10.1093\/milmed\/usac315","type":"journal-article","created":{"date-parts":[[2022,10,15]],"date-time":"2022-10-15T07:29:46Z","timestamp":1665818986000},"page":"e2823-e2825","source":"Crossref","is-referenced-by-count":3,"title":["Spontaneous Pneumomediastinum Resulting From Passionate Cheering at a Soccer Match"],"prefix":"10.1093","volume":"188","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7440-8864","authenticated-orcid":false,"given":"Tomer","family":"Talmy","sequence":"first","affiliation":[{"name":"Israel Defense Forces Medical Corps, Surgeon General\u2019s Headquarters , Ramat Gan 52621, Israel"},{"name":"Department of Military Medicine, Faculty of Medicine, Hebrew University , Jerusalem 9574869, Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3645-3883","authenticated-orcid":false,"given":"Ziv","family":"Izhaki","sequence":"additional","affiliation":[{"name":"Israel Defense Forces Medical Corps, Surgeon General\u2019s Headquarters , Ramat Gan 52621, Israel"},{"name":"Heller Institute of Medical Research, Sheba Medical Center , Ramat Gan 52621, Israel"},{"name":"Department of Pediatrics \u201cC\u201d, Schneider Children\u2019s Medical Center of Israel , Petach Tikvah 4920235, Israel"},{"name":"Sackler Faculty of Medicine, Tel Aviv University , Tel Aviv 6997801, Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2772-9550","authenticated-orcid":false,"given":"Sami","family":"Gendler","sequence":"additional","affiliation":[{"name":"Israel Defense Forces Medical Corps, Surgeon General\u2019s Headquarters , Ramat Gan 52621, Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0819-4164","authenticated-orcid":false,"given":"Eliad","family":"Aviram","sequence":"additional","affiliation":[{"name":"Israel Defense Forces Medical Corps, Surgeon General\u2019s Headquarters , Ramat Gan 52621, Israel"},{"name":"Samson Assuta Ashdod University Hospital, Ben Gurion University Faculty of Health Sciences , Ashdod 7747629, Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2022,10,15]]},"reference":[{"issue":"1","key":"2023072301111501700_R1","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1186\/1749-8090-3-59","article-title":"Spontaneous pneumomediastinum: diagnostic and therapeutic interventions","volume":"3","author":"Al-Mufarrej","year":"2008","journal-title":"J Cardiothorac Surg"},{"issue":"10","key":"2023072301111501700_R2","doi-asserted-by":"publisher","first-page":"1817","DOI":"10.3978\/j.issn.2072-1439.2015.10.58","article-title":"Clinical experience of spontaneous pneumomediastinum: diagnosis and treatment","volume":"7","author":"Kim","year":"2015","journal-title":"J Thorac Dis"},{"issue":"3","key":"2023072301111501700_R3","doi-asserted-by":"publisher","first-page":"962","DOI":"10.1016\/j.athoracsur.2008.04.067","article-title":"Spontaneous pneumomediastinum: a comparative study and review of the literature","volume":"86","author":"Caceres","year":"2008","journal-title":"Ann Thorac Surg"},{"issue":"6","key":"2023072301111501700_R4","doi-asserted-by":"publisher","first-page":"1001","DOI":"10.1016\/j.amjsurg.2013.08.009","article-title":"Pneumomediastinum: etiology and a guide to diagnosis and treatment","volume":"206","author":"Banki","year":"2013","journal-title":"Am J Surg"},{"issue":"11","key":"2023072301111501700_R5","doi-asserted-by":"publisher","first-page":"1396","DOI":"10.7205\/MILMED-D-12-00243","article-title":"Ooh-rah! an unusual cause of spontaneous pneumomediastinum","volume":"177","author":"Singla","year":"2012","journal-title":"Mil Med"},{"issue":"6","key":"2023072301111501700_R6","doi-asserted-by":"publisher","first-page":"e269","DOI":"10.1016\/j.athoracsur.2017.12.037","article-title":"Spontaneous pneumomediastinum after electronic cigarette use","volume":"105","author":"Marasco","year":"2018","journal-title":"Ann Thorac Surg"}],"container-title":["Military Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/milmed\/article-pdf\/188\/7-8\/e2823\/50937514\/usac315.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/milmed\/article-pdf\/188\/7-8\/e2823\/50937514\/usac315.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,7,22]],"date-time":"2023-07-22T21:17:40Z","timestamp":1690060660000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/milmed\/article\/188\/7-8\/e2823\/6761491"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,10,15]]},"references-count":6,"journal-issue":{"issue":"7-8","published-online":{"date-parts":[[2022,10,15]]},"published-print":{"date-parts":[[2023,7,22]]}},"URL":"https:\/\/doi.org\/10.1093\/milmed\/usac315","relation":{},"ISSN":["0026-4075","1930-613X"],"issn-type":[{"value":"0026-4075","type":"print"},{"value":"1930-613X","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2023,7,1]]},"published":{"date-parts":[[2022,10,15]]}}}