Case presentation A 15-yr-old boy was reported to the emergency department with neck and chest pain. Medical history Sudden sharp pain in the neck radiating to the chest appeared during brisk running.
Pain accompanied by shortness of breath and nausea, but no dysphagia or dysphonia. No history of trauma on the head, neck, or chest No prior medical concerns or surgeries No history of familial or congenital medical disorders No known allergies, and medication history Medical examination Mild tachypnea (respiratory rate = 22/minute) Vital signs - Normal Airway - Normal; mild nasal flaring Bilateral lung auscultation - No evidence of stridor Chest palpation - Tenderness around the right sternoclavicular region Other physical findings – Flexible digits, easy bruising Investigations Chest radiograph – Lung markings to the periphery bilaterally, no consolidations, and no opacities (Figure 1);…
