Spontaneuos pneumomediastinum secondary to cannabinoid hyperemesis syndrome

Authors

  • I. Hernández-Ramos Servicio de Urgencias. Hospital Universitario de Canarias. La Laguna. Tenerife.
  • P. Parra-Esquivel Servicio de Urgencias. Hospital Universitario de Canarias. La Laguna. Tenerife.
  • Á. López-Hernández Servicio de Urgencias. Hospital Universitario de Canarias. La Laguna. Tenerife.
  • G. Burillo-Putze Guillermo Burillo-Putze. Servicio de Urgencias. Hospital Universitario de Canarias. Ofra, S/N 38320 La Laguna. Tenerife https://orcid.org/0000-0001-5679-7846

DOI:

https://doi.org/10.23938/ASSN.0635

Keywords:

Cannabinoid hyperemesis syndrome. Pneumomediastinum. Cannabis. Capsaicin.

Abstract

Cannabinoid hyperemesis syndrome (CHS) is characterised by abdominal pain and cyclical vomiting, after intense consumption of cannabis over years. It does not respond to treatment with antiemetics, but to showers in very hot water.

We present the case of a 24-year-old patient with cannabis consumption for 10 years and an episode of spontaneous idiopathic pneumomediastinum (PM) the previous month, which presented an association of CHS with the PM secondary to ntense, repeated vomiting. He was given topical capsaicin and 5 mg of intravenous haloperidol, and was kept for 48 hours in the Emergency Short Stay Unit.

This isolated clinical observation appears to indicate the need to rule out CHS as the cause of PM in young patients and, similarly, to consider the presence of PM in the clinical exploration of young people with CHS and in patients with pathologies whose aetiology might be influenced by an increase in intrathoracic pressure.

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References

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Published

2019-08-23

How to Cite

Hernández-Ramos, I., Parra-Esquivel, P., López-Hernández, Á., & Burillo-Putze, G. (2019). Spontaneuos pneumomediastinum secondary to cannabinoid hyperemesis syndrome. Anales Del Sistema Sanitario De Navarra, 42(2), 227–230. https://doi.org/10.23938/ASSN.0635

Issue

Vol. 42 No. 2 (2019)

Section

Clinical notes

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