{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T16:41:14Z","timestamp":1787071274790,"version":"build-2736575974"},"reference-count":14,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"2","license":[{"start":{"date-parts":[[2026,4,1]],"date-time":"2026-04-01T00:00:00Z","timestamp":1775001600000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2026,4]]},"abstract":"<jats:title>Abstract:<\/jats:title>\n                  <jats:p>A 19-year-old female presented to the emergency department with the sudden onset of chest pain. The patient had a complaint after cheering for her team during a football match. Initial blood workup and imaging were normal. However, before discharge, a widespread crepitation in the neck was detected during re-examination. Further imaging revealed a pneumomediastinum, and the patient was admitted to the hospital. This case emphasizes the importance of follow-up and re-examination before discharging the patients.<\/jats:p>","DOI":"10.4103\/tjem.tjem_250_25","type":"journal-article","created":{"date-parts":[[2026,4,3]],"date-time":"2026-04-03T09:00:18Z","timestamp":1775206818000},"page":"153-155","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Pneumomediastinum due to excessive cheering during a football match"],"prefix":"10.4103","volume":"26","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5194-3007","authenticated-orcid":false,"given":"Abdullah","family":"\u00d6n\u00fcr","sequence":"first","affiliation":[{"name":"Department of Emergency Medicine, Gaziantep City Hospital, Gaziantep, T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9707-3315","authenticated-orcid":false,"given":"Emre","family":"Sanci","sequence":"additional","affiliation":[{"name":"Department of Emergency, Bakircay University, \u0130zmir, T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2026,4,3]]},"reference":[{"key":"R2-20260414","doi-asserted-by":"crossref","first-page":"695","DOI":"10.1007\/BF01957155","article-title":"Spontaneous pneumomediastinum in children:Clinical and natural history","volume":"155","author":"Dekel","year":"1996","journal-title":"Eur J Pediatr"},{"key":"R3-20260414","doi-asserted-by":"crossref","first-page":"774","DOI":"10.1016\/S0022-5223(03)00124-7","article-title":"Spontaneous pneumomediastinum:A rare benign entity","volume":"126","author":"Gerazounis","year":"2003","journal-title":"J Thorac Cardiovasc Surg"},{"key":"R4-20260414","doi-asserted-by":"crossref","first-page":"1076","DOI":"10.1111\/anae.15113","article-title":"Pneumomediastinum following intubation in COVID-19 patients:A case series","volume":"75","author":"Wali","year":"2020","journal-title":"Anaesthesia"},{"key":"R5-20260414","first-page":"001085","article-title":"Pneumomediastinum in a heavy weightlifter","volume":"6","author":"Swaminathan","year":"2019","journal-title":"Eur J Case Rep Intern Med"},{"key":"R6-20260414","first-page":"e79300","article-title":"Spontaneous postpartum pneumomediastinum (Hamman's syndrome):A case report and review of chest pain management in the immediate postpartum period","volume":"17","author":"George","year":"2025","journal-title":"Cureus"},{"key":"R7-20260414","doi-asserted-by":"crossref","first-page":"e70156","DOI":"10.1002\/rcr2.70156","article-title":"A spontaneous pneumomediastinum during an asthma exacerbation","volume":"13","author":"Derry","year":"2025","journal-title":"Respirol Case Rep"},{"key":"R8-20260414","doi-asserted-by":"crossref","first-page":"e2823","DOI":"10.1093\/milmed\/usac315","article-title":"Spontaneous pneumomediastinum resulting from passionate cheering at a soccer match","volume":"188","author":"Talmy","year":"2023","journal-title":"Mil Med"},{"key":"R9-20260414","first-page":"V09210749","article-title":"Spontaneous pneumomediastinum as a complication to cheering during the UEFA European football championship","volume":"183","author":"K\u00f8lster","year":"2021","journal-title":"Ugeskr Laeger"},{"key":"R10-20260414","first-page":"e30894","article-title":"A rare case of spontaneous pneumomediastinum in a female after shouting:A literature review","volume":"14","author":"Al-Hurani","year":"2022","journal-title":"Cureus"},{"key":"R12-20260414","doi-asserted-by":"crossref","first-page":"1758","DOI":"10.1016\/0003-4975(94)91683-7","article-title":"Atypical presentation of spontaneous pneumomediastinum","volume":"58","author":"Ralph-Edwards","year":"1994","journal-title":"Ann Thorac Surg"},{"key":"R13-20260414","doi-asserted-by":"crossref","first-page":"e05156","DOI":"10.1002\/ccr3.5156","article-title":"Spontaneous pneumomediastinum mimicking acute pericarditis","volume":"9","author":"Chaudhary","year":"2021","journal-title":"Clin Case Rep"},{"key":"R14-20260414","doi-asserted-by":"crossref","first-page":"e1051","DOI":"10.1097\/PEC.0000000000001895","article-title":"Management and outcomes of spontaneous pneumomediastinum in children","volume":"37","author":"Noorbakhsh","year":"2021","journal-title":"Pediatr Emerg Care"},{"key":"R15-20260414","doi-asserted-by":"crossref","first-page":"503","DOI":"10.1378\/chest.102.2.503","article-title":"Massive spontaneous subcutaneous emphysema. 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