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Spontaneous pneumomediastinum – Hamman´s syndrome


Authors: R. Birka;  M. Králíková;  O. Slyvka;  M. Sedláček
Authors‘ workplace: Chirurgické oddělení, Nemocnice Havířov, p. o., Česká republika
Published in: Rozhl. Chir., 2024, roč. 103, č. 2, s. 65-67.
Category: Case Report
doi: https://doi.org/10.33699/PIS.2024.103.2.65–67

Overview

This case study presents a rare case of a 29-year-old woman with spontaneous pneumomediastinum who was treated in the emergency department for subjective dyspnea, rhinitis, and a subjectively reported increasing swelling of the throat. The clinical presentation was only characterized by crepitus in the neck and supraclavicular areas. CT scan of the neck and chest revealed massive emphysema of the soft tissues of the neck, chest, the right side of the face, and pneumomediastinum extending to the diaphragm. Based on the clinical presentation and imaging findings, which were consulted with thoracic surgeons, we assessed the condition as benign spontaneous pneumomediastinum. The patient was treated conservatively and discharged from the hospital on the third day of hospitalization with the need of aftercare.

Keywords:

spontaneous pneumomediastinum – Hamman´s syndrome – Macklin´s syndrome


Sources
  1. Hyravý M, Brož M, Salzman R. Hammanův syndrom – spontánní pneumomediastinum prezentující se rozsáhlým emfyzémem krku. Online. Otorinolaryngologie a foniatrie 2020;69(1):31–34. ISSN 1805-4528.
  2. Vejvodová Š, Vodička J. Spontánní pneumomediastinum (Hammanův syndrom). Online. Rozhledy v chirurgii 2014;93(8): 436–438.
  3. Sonu S, Sameer V, Jinette G, et al. Spontaneous pneumomediastinum: Time for Consensus. North American Journal of Medical Sciences 2013;5(8):460–464. doi:10.4103/1947-2714.117296.
  4. Marchiori E, Hochnegger B, Zanetti G. Pneumomediastinum. J Bras Pneumol. 2019; 45 (4):1–1. doi:10.1590/1806-3713/ e20190169.
  5. Berhanu NA, Ephraim TY, Abraham GT. Spontaneous primary pneumomediastinum: is it always benign? Journal of Medical Case Reports 2021;15(157):1–8. doi:10.1186/s13256-021-02701-z.
  6. McGrath EE, Blades Z, Barber Ch. Spontaneous pneumomediastinum. Online. CMAJ. 2009:181(12):1–1. doi: 10.1503/cmaj.081661.
  7. Belachur IG, Holzer C, Voboril RG, et al. Síndrome de Hamman en neumónia por SARS-COV-2. Medicina 2023;83:475–478.
  8. Ramezani R, Jafari F, Fahami Y, et al. A case report of pneumomediastinum and subcutaneous emphysema associated with pandemic COVID-19 in a 43-yearold man. Clin Imaging 2021;76:74–76. doi:10.1016/j.clinimag.2021.01.009.
  9. Mihál V, Michálková K, Wiedermann J, et al. Spontánní pneumomediastinum s podkožním emfyzémem. Pediatrie pro praxi 2005;4:206–208.
  10. Ødegaard KJ, Haavardsholm E, Husby A. Spontaneous pneumomediastinum. Online. Tidsskr Nor Laegeforen 2018; 138(11):1–3. doi:10.4045/tidsskr.18. 0132.
  11. Ojha S, Gasakin J. Spontaneous pneumomediastinum. BJS 2018;1–4. doi:10.1136/ bcr-2017-222965.
  12. Kira K, Inokuchi R, Maehara H, et al. Spontaneous pneumomediastinum. BMJ 2016; 1–2. doi:10.1136/bcr-2015-213550.

MUDr. Roman Birka
Chirurgické oddělení Nemocnice Havířov, p. o.
e-mail:
roman.birka@nemhav.cz

Labels
Surgery Orthopaedics Trauma surgery
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