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http://dx.doi.org/10.1136/thoraxjnl-2017-210291 | DOI Listing |
Cureus
November 2024
Department of Radiology, Unidade Local de Saúde de São João, Porto, PRT.
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.
View Article and Find Full Text PDFCureus
September 2024
Internal Medicine, Cape Fear Valley Health, Fayetteville, USA.
Pneumomediastinum is the presence of gas (usually air) in the mediastinum, which is rare and typically benign. Pneumomediastinum is classified into primary and secondary based on etiology. Its pathophysiology is due to high intra-alveolar pressures causing alveolar rupture, which releases air that travels along bronchoalveolar sheaths into the mediastinum.
View Article and Find Full Text PDFEur J Case Rep Intern Med
May 2024
Department of Internal Medicine, Monmouth Medical Center, Long Branch, USA.
Unlabelled: Hamman syndrome is defined as dissection of air in mediastinum and skin fascia usually due to increased intrathoracic pressure. The air leak tends to make its way into pleural and pericardial layers; however, in rare instances air can also dissect into epidural spaces, regarded as pneumorrhachis. We present a case of a young male with a history of polysubstance abuse and e-vaping, who presented with symptoms of altered mental status.
View Article and Find Full Text PDFJ Med Case Rep
May 2024
Second Department of Anesthesiology, "Attikon" University Hospital, National and Kapodistrian University of Athens, 1 Rimini Str., 12461, Athens, Greece.
Background: Pneumomediastinum and pneumorrachis are rare complications following epidural analgesia, that can either be asymptomatic or rarely can produce mild to moderate severity symptoms. Most reported cases regarding the presentation of these two entities with epidural analgesia concern asymptomatic patients, however there are cases reporting post-dural puncture headache and respiratory manifestations.
Case Presentation: We present a case where a combined lumbar epidural and spinal anesthesia was performed using the loss of resistance to air technique (LOR), on a 78-year-old Greek (Caucasian) male undergoing a total hip replacement.
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