Case presentation A 21-year-old man with no relevant past medical history arrived at the emergency department reporting sudden lower throat pain and dysphagia that started immediately after an intense weightlifting session at the gym. He stated that toward the end of his workout, while straining during a maximal lift, he felt a sharp pain in the lower neck and upper chest, followed by discomfort when swallowing.
He denied any neck or chest trauma, recent upper respiratory infection, coughing, vomiting, or foreign body ingestion. Medical history Non-smoker No illicit drug use or vaping No history of asthma or chronic lung disease Physical examination Anxious appearance but hemodynamically stable Vital signs within normal range Mild supraclavicular swelling with palpable crepitus extending into the lower cervical region No focal chest wall or pectoral tenderness No erythema or ecchymosis…
