Teenager with XXXX and swollen neck: a leave-it-alone condition.

@entity1 @entity662 @entity9285 @entity1353 @entity565 @entity16 @entity391 @entity14303 @entity51 @entity14515 @entity272 @entity51535
UNASSIGNED: A 19-year-old @entity1 with @entity1353 and @entity662 after strenuous exercise presented to emergency department . On physical examination, the neck and shoulders appeared to be swollen. There was crepitus on @entity272 . Chest X-ray disclosed @entity9285 and @entity14303 . CT showed additional finding of air in epidural space. The @entity1 was discharged after 2   days of hospitalisation with conservative treatment uneventfully. @entity51535 is usually caused by abrupt increase in intrathoracic pressure in instance of forceful @entity391 , cough or @entity565 attack in an otherwise healthy young adult. It is usually accompanied with @entity14303 . The management of epidural @entity14515 should be tailored according to its primary cause. For most @entity1 with @entity51535 associated to a spontaneous @entity14303 without @entity16 , this condition is generally self-limited. For epidural free air of large volume that causes @entity51 , surgical laminectomy may be indicated.
