Hamman’s Syndrome: spontaneus pneumomediastinum presenting as cervicothoracic massive emphysema. A case report
Abstract Introduction: Spontaneous pneumomediastinum (NME) consists of the presence of air in the mediastinum without a known cause. The main symptom of NME is chest pain, which is accompanied by cervical emphysema in 70% of cases. Case description: We present the clinical case of a patient who comes to our center with dyspnea at rest for several hours, as well as massive cervicothoracic emphysema. When carrying out image tests, the presence of air in the mediastinum is visualized. Despite being treated early, days later he dies. Conclusions: The NME is a disease of generally benign evolution, difficult to diagnose and that, therefore, should be included in the differential diagnosis of those patients who suffer chest pain associated with dyspnea. In general, conservative treatment with observation and follow-up is required, although serious complications can sometimes arise.
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Abad Royo JM, Batista Rocha L, Abad Domingo Cl, González Eizaguirre M, Alonso Alonso L, Pérez Sánchez P. Enfisema cervical masivo espontaneo. ORL Aragón 2014;17(2):9-10.
Álvarez C, Jadue A, Rojas F, Cerda C, Ramírez M, Cornejo C. Neumomediastino espontáneo (síndrome de Hamman): Una enfermedad benigna mal diagnosticada. Rev Méd Chile 2009;137:1045-50. https://doi.org/10.4067/S0034-98872009000800007
Artal R, Agrega B, Serrano E, Sebastián JM, Alfonso JI, Valles H. Enfisema cervical subcutáneo: Una complicación rara tras maniobra de higiene bucodental. ORL Aragón 2008;11(1):18-20.
Gerazounis M, Athanassiadi K, Kalantzi N, Moustardas M. Spontaneous pneumomediastinum: a rare benign entity. J Thorac Cardiovasc Surg 2003;126:774-6. https://doi.org/10.1016/S0022-5223(03)00124-7
Grapatsas K, Tsilogianni Z, Leivaditis V, Kotoulas S, Kotoulas C, Koletsis E et al. Hamman's syndrome (spontaneous pneumomediastinum presenting as subcutaneous emphysema): A rare case of the emergency department and review of the literature. Respir Med Case Rep. 2017;23:63-5. - https://doi.org/10.1016/j.rmcr.2017.12.004 - PMid:29276676 PMCid:PMC5730040
Hamman L. Spontaneous mediastinal emphysema. Bull Johns Hopkins Hospital 1939; 64: 1-21.
Macklin MT, Macklin CC. Malignant interstitial emphysema of the lungs and mediastinum as an important occult complication in many respiratory diseases and other conditions: an interpretation of the clinical literature in the light of laboratory experiment. Medicine. 1944;23:281-358. https://doi.org/10.1097/00005792-194412000-00001
Martiín-Menjívar E, Vázquez Minero JC, Ferrero Balado E, Domíngez A. Efecto Macklin como causa de neumomediastino posterior a contusión torácica. Reporte de un caso. Trauma. 2007;10:58-61.
Álvarez C, Jadue A, Rojas F, Cerda C, Ramírez M, Cornejo C. Neumomediastino espontáneo (síndrome de Hamman): Una enfermedad benigna mal diagnosticada. Rev Méd Chile 2009;137:1045-50. https://doi.org/10.4067/S0034-98872009000800007
Artal R, Agrega B, Serrano E, Sebastián JM, Alfonso JI, Valles H. Enfisema cervical subcutáneo: Una complicación rara tras maniobra de higiene bucodental. ORL Aragón 2008;11(1):18-20.
Gerazounis M, Athanassiadi K, Kalantzi N, Moustardas M. Spontaneous pneumomediastinum: a rare benign entity. J Thorac Cardiovasc Surg 2003;126:774-6. https://doi.org/10.1016/S0022-5223(03)00124-7
Grapatsas K, Tsilogianni Z, Leivaditis V, Kotoulas S, Kotoulas C, Koletsis E et al. Hamman's syndrome (spontaneous pneumomediastinum presenting as subcutaneous emphysema): A rare case of the emergency department and review of the literature. Respir Med Case Rep. 2017;23:63-5. - https://doi.org/10.1016/j.rmcr.2017.12.004 - PMid:29276676 PMCid:PMC5730040
Hamman L. Spontaneous mediastinal emphysema. Bull Johns Hopkins Hospital 1939; 64: 1-21.
Macklin MT, Macklin CC. Malignant interstitial emphysema of the lungs and mediastinum as an important occult complication in many respiratory diseases and other conditions: an interpretation of the clinical literature in the light of laboratory experiment. Medicine. 1944;23:281-358. https://doi.org/10.1097/00005792-194412000-00001
Martiín-Menjívar E, Vázquez Minero JC, Ferrero Balado E, Domíngez A. Efecto Macklin como causa de neumomediastino posterior a contusión torácica. Reporte de un caso. Trauma. 2007;10:58-61.
García-Curdi, F., López-Vázquez, M. A., Lois-Ortega, Y., Ezpeleta-Badenas, R., López-Buil, J., Gil-Grasa, G., Vela-Gajón, P. L., & Vallés-Varela, H. (2018). Hamman’s Syndrome: spontaneus pneumomediastinum presenting as cervicothoracic massive emphysema. A case report. Revista ORL, 10(2), 153–156. https://doi.org/10.14201/orl.18055
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