Hamman's syndrome is an uncommon clinical entity characterized by an idiopathic spontaneous pneumomediastinum as a result of a sudden increase in intra-alveolar pressure. It can be triggered by repeated vomiting or Kussmaul breathing associated with diabetic ketoacidosis (DKA). Careful attention to this particular condition is needed to avoid under-diagnosis and to provide optimal management. Herein, we report a case of an 18-year-old man complaining of chest discomfort and progressive weight loss, ultimately diagnosed with Hamman's syndrome secondary to DKA. The patient's symptoms disappeared after intravenous fluid and insulin administration, while his pneumomediastinum resolved following conservative treatment. Our report highlights the importance of recognition of the links between pneumomediastinum as a cause of chest pain in patients with DKA.
Download full-text PDF |
Source |
|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC9637257 | PMC |
| http://dx.doi.org/10.22037/aaem.v10i1.1709 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Hamman Syndrome in Diabetic Ketoacidosis: Unveiling a Rare and Life-Threatening Complication.
Cureus
December 2024
Pulmonology, Ibn Rochd University Hospital, Casablanca, MAR.
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.
View Article and Find Full Text PDFHamman 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.*
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 PDFAn Uncommon Presentation of Hamman's Syndrome in an Adolescent With Acute Diabetic Ketoacidosis and Newly Diagnosed Type 1 Diabetes.
Case Rep Pediatr
October 2024
Department of Pediatrics, Nepean Hospital, Penrith, New South Wales, Australia.
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.
Hamman Syndrome Caused by a Sodium Glucose Cotransporter 2 Inhibitor in an Elderly Patient with Diabetes which Mimicked of Boerhaave Syndrome.
Intern Med
October 2024
Department of Surgery, Kesen-numa City Hospital, Japan.
Article Synopsis
- A 70-year-old man with diabetes was treated with an SGLT2 inhibitor but developed vomiting and abdominal pain, leading to a diagnosis of diabetic ketoacidosis (DKA).
- A CT scan revealed mediastinal emphysema, and treatment for DKA was initiated alongside concerns of potential Boerhaave syndrome.
- After resolving DKA, the mediastinal emphysema also disappeared, highlighting the rare occurrence of Hamman syndrome in elderly diabetic patients on SGLT2 inhibitors and the risks of misdiagnosis.
Want AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!