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Image on spontaneous pneumomediastinum presenting as sore throat
  1. Ramesh Kapa Baskaran
  1. Correspondence to Dr Ramesh Kapa Baskaran, Specialist Registrar Emergency Medicine, Russell Hall Hospital, 25 Cornmill Drive, Farnworth, Bolton. BL4 9EN, UK; ramesh.kapa{at}gmail.com

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Spontaneous pneumomediastinum is an under-diagnosed condition. It is usually a benign process primarily affecting young men. Precipitating causes noted are violent cough, asthma, valsalva manoeuvre, inhalation drugs and exertion.

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