Current assessment and management of spontaneous pneumomediastinum: experience in 24 adult patients

Abstract

SPM follows alveolar rupture in the pulmonary interstitium. It shows a rising incidence in young drug users. It has a wide range of clinical features necessitating a high index of suspicion. Chest X-ray and CT scan should be always performed. Hospitalization and aggressive approach should be limited. SPM responds well to conservative treatment and follows a benign natural course.

Neumomediastino espontáneo (síndrome de Hamman): Una enfermedad benigna mal diagnosticada

“…Todos se controlaron en policlínica de con un promedio de edad de 20 años 5,8,9,21,22 . En nuestros casos 5 de 8 fueron varones y la edad promedio fue de 25 años.…”

“…El tratamiento es sintomá-tico y habitualmente consiste en analgesia, oxigenoterapia y reposo. Al igual que en los casos comunicados en la literatura nuestra serie no requirió de un procedimiento quirúrgico 10,22,36 .…”

Spontan Pnömomediastinum: İki Vaka

“…In addition to this; coughing, excessive vomiting, illegal drug intakes like cocaine, acute asthma crisis were reported as triggering factors (4,5,8) . Subcutaneous emphysema with palpation at the chest wall or neck wall can be detected in the 40-100% of the cases, sometimes Hamman's crunch can be detected (8,9) .…”

“…It frequently develops in young men without trauma due to excessive physical exercise, the increase of cough and intra abdominal pressure (3) . In addition to this, it is seen in the patients with asthma bronchiole and drug addicts as a result of forcing excessively the esophagus due to vomiting, in Valsalva maneuver and vaginal births (4,5) . The most frequent symptoms are; chest pain, shortness of breath, hoarseness and failure to thrive (4) .…”

“…In addition to this, it is seen in the patients with asthma bronchiole and drug addicts as a result of forcing excessively the esophagus due to vomiting, in Valsalva maneuver and vaginal births (4,5) . The most frequent symptoms are; chest pain, shortness of breath, hoarseness and failure to thrive (4) . Its incidence frequency is 1/12500-1/42000 within all the emergency service applications (6) .…”