Hamman syndrome.

Br J Hosp Med (Lond)

Anaesthetic Core Trainee Year 2 in the Department of Anaesthesia, North Devon District Hospital, Barnstaple, Devon EX31 4JB.

Published: March 2016

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http://dx.doi.org/10.12968/hmed.2016.77.3.191DOI Listing

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Hamman's syndrome is characterized by spontaneous pneumomediastinum triggered by Valsalva maneuvers and is an uncommon complication during labor and the postpartum period. It is typically benign and managed conservatively with oxygen therapy and analgesia. We present the clinical case of a 21-year-old primigravida who developed spontaneous pneumomediastinum during labor, manifesting with subcutaneous emphysema and dyspnea.

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Hamman syndrome, or spontaneous pneumomediastinum, is a rare condition characterized by the presence of free air in the mediastinum, often triggered by increased intrathoracic pressure from vomiting, coughing, or intense physical exertion. Its association with diabetic ketoacidosis (DKA) is extremely uncommon. We report a case of an 18-year-old male with poorly controlled type 1 diabetes who developed DKA complicated by pneumomediastinum, subcutaneous emphysema, and a small pneumothorax.

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Hamman Syndrome: A Case Report of Interlobar Pneumothorax, Pneumopericardium, and Pneumorrhachis.

Cureus

November 2024

Department of Radiology, Unidade Local de Saúde de São João, Porto, PRT.

Article Synopsis
  • Hamman syndrome is a rare, benign condition marked by air in the mediastinum without an external cause, usually affecting young adults and linked to activities that raise intrathoracic pressure, like coughing or asthma attacks.* -
  • An 18-year-old male asthmatic patient experienced shortness of breath, chest pain, and subcutaneous emphysema, leading to imaging that revealed pneumomediastinum and other related issues.* -
  • Treatment involved supplemental oxygen and pain relief, with symptoms improving and imaging showing resolution of pneumomediastinum within four days, highlighting the importance of accurate diagnosis through imaging to distinguish it from serious conditions.*
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In 1939, Hamman´s syndrome, also know as spontaneous pneumomediastinum, was characterized by the presence of pneumothorax, subcutaneous emphysema, and pneumorrhachis. It is believed to arise from barotrauma during vaginal labor, causing alveolar membrane rupture and subsequent air leakage. Clinical manifestations are often nonspecific.

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Article Synopsis
  • - Hamman's syndrome is a rare complication of diabetic ketoacidosis (DKA) that causes subcutaneous emphysema and spontaneous pneumomediastinum, as demonstrated in a case involving an 11-year-old boy with newly diagnosed type 1 diabetes.
  • - The patient showed classic DKA symptoms like excessive thirst, frequent urination, abdominal pain, and fatigue and was initially treated with IV fluids and insulin before being transferred to a specialized children's hospital.
  • - Upon examination, he showed signs of Hamman's syndrome, which was resolved with conservative treatment, emphasizing the need for awareness of this condition in pediatric DKA cases to ensure proper diagnosis and management.
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