{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T21:53:01Z","timestamp":1777672381958,"version":"3.51.4"},"reference-count":8,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2025,8,1]],"date-time":"2025-08-01T00:00:00Z","timestamp":1754006400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2025,8,1]],"date-time":"2025-08-01T00:00:00Z","timestamp":1754006400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Investigative Medicine High Impact Case Reports"],"published-print":{"date-parts":[[2025,8]]},"abstract":"<jats:p>Spontaneous pneumomediastinum (SPM) is a rare, self-limiting condition that can be complicated by pneumothorax, pneumopericardium, and subcutaneous emphysema. This case describes a 25-year-old man with a chronic marijuana use history who developed SPM after a recent respiratory infection. Imaging showed significant pneumomediastinum, pneumopericardium, and small pneumothoraces bilaterally. Despite these findings, he remained stable and was treated conservatively with oxygen supplementation, analgesics, and close monitoring. By day 6, his condition had nearly resolved, and he was safely discharged. This case emphasizes the importance of considering SPM in young patients with acute respiratory distress and reinforces the value of computed tomography scans in promptly diagnosing and managing the condition without invasive interventions.<\/jats:p>","DOI":"10.1177\/23247096251367550","type":"journal-article","created":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T00:47:04Z","timestamp":1756342024000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Radiographic Convergence: A Case of Pneumomediastinum, Pneumothorax, Pneumopericardium, and Subcutaneous Emphysema"],"prefix":"10.1177","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9672-430X","authenticated-orcid":false,"given":"Nizar","family":"Alyassin","sequence":"first","affiliation":[{"name":"Department of Internal Medicine, St Joseph\u2019s Regional Medical Center, Paterson, NJ, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Islam","family":"Rajab","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, St Joseph\u2019s Regional Medical Center, Paterson, NJ, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0002-8107-3035","authenticated-orcid":false,"given":"Sabrina","family":"Higgins","sequence":"additional","affiliation":[{"name":"Department of Surgery, St Joseph\u2019s Regional Medical Center, Paterson, NJ, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael","family":"Pelidis","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, St Joseph\u2019s Regional Medical Center, Paterson, NJ, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ruth","family":"Lamm","sequence":"additional","affiliation":[{"name":"Department of Pulmonary and Critical Care, St Joseph\u2019s Regional Medical Center, Paterson, NJ, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2025,8,27]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejcts.2009.08.002"},{"key":"e_1_3_3_3_2","first-page":"63","article-title":"Hamman\u2019s syndrome (spontaneous pneumomediastinum presenting as subcutaneous emphysema): a rare case of the emergency department and review of the literature","volume":"23","author":"Grapatsas K","year":"2017","unstructured":"Grapatsas K, Tsilogianni Z, Leivaditis V, et al. Hamman\u2019s syndrome (spontaneous pneumomediastinum presenting as subcutaneous emphysema): a rare case of the emergency department and review of the literature. Respir Med Case Rep. 2017;23:63-65.","journal-title":"Respir Med Case Rep"},{"issue":"10","key":"e_1_3_3_4_2","first-page":"1817","article-title":"Clinical experience of spontaneous pneumomediastinum: diagnosis and treatment","volume":"7","author":"Kim KS","year":"2015","unstructured":"Kim KS, Jeon HW, Moon Y, et al. Clinical experience of spontaneous pneumomediastinum: diagnosis and treatment. 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