CASES OF NOTESpontaneous Retropharyngeal Emphysema A Triage TwistLong, Christina M. MD, FACEPEditor(s): Jordan, Kathleen S. DNP, RN, FNP-BC, ENP-C, SANE-P, FAEN, FAANP, Column Editor Author Information Department of Emergency Medicine, Stritch University School of Medicine, Loyola University Medical Center, Maywood, Illinois. Corresponding Author: Christina M. Long, MD, FACEP, Department of Emergency Medicine, Stritch University School of Medicine, Loyola University Medical Center, 2160 South First Ave, Maywood, IL 60153 ([email protected]). Disclosure: The author reports no conflicts of interest. Advanced Emergency Nursing Journal: April/June 2021 - Volume 43 - Issue 2 - p 111-113 doi: 10.1097/TME.0000000000000345 Buy Metrics Abstract Spontaneous retropharyngeal emphysema (SRE) is a rare condition, occurring in the absence of trauma. Symptoms usually include acute-onset odynophagia and dyspnea. This is an interesting case of a young, healthy woman who presented to an emergency department with benign upper respiratory symptoms but took a drastic turn while in the waiting room after being triaged. The features and implications of SRE are discussed in this case, including emergent thoracic surgery consultation and additional testing. © 2021 Wolters Kluwer Health, Inc. All rights reserved.