Hamman's syndrome - spontaneous pneumomediastinum presenting with extensive neck emphysema
Authors:
M. Hyravý; M. Brož; Richard Salzman
Authors‘ workplace:
Klinika otorinolaryngologie a chirurgie hlavy a krku LF UP a FN Olomouc
Published in:
Otorinolaryngol Foniatr, 69, 2020, No. 1, pp. 31-34.
Category:
Case Reports
Overview
The autors present a case of a 39 year old patient with spontaneous pneumomediastinum and extensive neck emphysema. The patient was referred to the ENT clinic with neck swelling, hyponasal voice, dysphagia and dysphonia manifesting for several hours. Clinical examination and CT scan of the neck and mediastinum revealed pneumomediastinum with extensive subcutaneous emphysema of the neck without clear cause. Subsequent bronchoscopy didin´t reveal any pathological findings. After the other etiologies were excluded, the diagnosis of spontaneous pneumomediastinum – Hamman´s syndrome was established. The patient was discharged from the hospital in three days after significant regression of findings without any relevant clinical symptoms. The case report points out non-serious , but dramatically looking condition that can be mistaken for a disease with significant morbidity and mortality which needs more aggressive treatment.
Keywords:
spontaneous pneumomediastinum – subcutaneous emphysema – Hamman´s syndrome
Sources
1. Alves, G. R. T., Silva, R. V. A., Correa, J. R. M. et al.: Spontaneous pneumomediastinum (Hamman’s syndrome). J Bras Pneumol, 38, 2012, 3, s. 404–407.
2. Grapatsas, K., Tsilogianni, Z., Leivaditis, V. et al.: Hamman‘s syndrome (spontaneous pneumomediastinum presenting as subcutaneous emphysema): A rare case of the emergency department and review of the literature. Resp Med Case Rep, 23, 2018, s. 63–65.
3. Hamman, L.: A note on the mechanism of spontaneous pneumothorax. Ann Intern Med, 13, 1939, 6, s. 923–927.
4. Cho, C., Parratt, J. R., Smith, S. et al.: Spontaneous pneumomediastinum (Hamman´s syndrome): a rare cause of postpartum chest pain. BMJ Case Rep, 2015. Dostupné z doi:10.1136/bcr-12-2010-3603
5. Kouki, S., Fares, A. A.: Postpartum spontaneous pneumomediastinum ‘Hamman’s syndrome’. BMJ Case Rep, 2013. Dostupné z doi:10.1136/bcr-2013-010354
6. Langwieler, T. E., Steffani, K. D., Bogoevski, D. P. et al.: Spontaneous Pneumomediastinum, Ann Thorac Surg. 78, 2004, 2, s. 711–713.
7. Macia, I., Moya, J., Ramos, R. et al.: Spontaneous pneumomediastinum: 41 cases, Eur J Cardiothorac Surg, 31, 2007, 6, s. 1110–1114.
8. Macklin, M., Macklin, C.: Malignant interstitial emphysema of the lungs and mediastinum as an important occult complication in many respiratory diseases and other conditions: interpretation of the clinical literature in the light of laboratory experiment. Medicine, 23, 1944, s. 281–358.
9. Majer, S., Graber, P.: Postpartum pneumomediastinum (Hamman’s syndrome), Can Med Assoc J, 177, 2007, 1, s. 32.
10. Mihál, V., Michálková, K., Wiedermann, J. et al.: Spontánní pneumomediastinum s podkožním emfyzémem. Pediatr Praxi, 2005, 4, s. 206–208.
11. Murayama, S., Gibo, S.: Spontaneous pneumomediastinum and Macklin effect: Overview and appearance on computed tomography. World J Radiol, 6, 2014, 11, s. 850–854.
12. Spronk, P. E., Landheer, W., Wessels, F. et al.: Hamman’s syndrome. Neth J Crit Care, 15, 2011, 1, s. 30–31.
13. Takada, K., Matsumoto, S., Hiramatsu, T. et al.: Spontaneous pneumomediastinum: an algorithm for diagnosis and management. Ther Adv Respir Dis, 3, 2009, 6, s. 301–307.
14. Trčka, O., Slouka, D.: Spontánní pneumomediastinum po požití amfetaminu, Otorinolaryng a Foniat (Prague), 67, 2018, 1, s. 28–31.
15. Tytherleigh, M. G., Connolly, A. A., Handa J. L.: Spontaneous pneumomediastinum. J Accid Emerg Med, 14, 1997, 5, s. 333–343.
16. Wilkinson, C. G., Adams, P. C.: Pneumomediastinum in a trumpeter diagnosed by the presence of Hamman’s crunch. BMJ Case Rep, 2012. Dostupné z doi:10.1136/bcr-2012-007304
Labels
Audiology Paediatric ENT ENT (Otorhinolaryngology)Article was published in
Otorhinolaryngology and Phoniatrics
2020 Issue 1
Most read in this issue
- Perioperative complications of FEES in ENT department in the Hospital of České Budějovice, a.s., between 2000 - 2017
- Risk factor of thyroid surgery complications
- Overview of most common local complications of oncological treatment of head and neck tumors
- Neonatal hearing screening - current situation and how to proceed?