Diagnosis and treatment of spontaneous pneumomediastinum: experience at a single institution for 10 years

Song, In-Hag; Lee, Seock Yeol; Choi, Won Suk

doi:10.1007/s11748-017-0755-3

Cited by 22 publications

(31 citation statements)

References 23 publications

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“…Reported the low incidence of recurrence, outpatient follow-up is not necessary. If there is an excessive subcutaneous emphysema, small skin incisions and subcutaneous drainage catheters can be placed (25). Malignant pneumomediastinum aims to reduce the high pressure in the alveoli by evacuating the air in the mediastinum with the use of multiple subcutaneous aspirations or incisions.…”

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confidence: 99%

Hamman's Syndrome (Spontaneous Pneumomediastinum)

Tezcan

Özsoy

2019

Harran Üniversitesi Tıp Fakültesi Dergisi

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Background: In this study, we wanted to draw attention to the spontaneous pneumomediastinum which rarely seen and to share our experiences. Materials and Methods: Between April 2016-April 2018, we retrospectively evaluated 12 patients who were hospitalized and treated with SPM diagnosis at Health Practice and Research Center. Results: Of the 12 patients with spontaneous pneumomediastinum, 9 (75%) were male and 3 (25%) were female. Patients had a mean age of 30.5 years (range 15-42 years), 2 patients admitted to the emergency service with swelling and dyspnea complaints, 1 patient with cough and vomiting, 1 patient with cough and chest pain, 3 patients with dyspnea and chest pain, 3 patients with sore throat and chest pain, 2 patients with swelling in the neck after the tooth extraction. 6 (50%) of the patients had a smoking history. Conclusions: Spontaneous pneumomediastinum is a disease that is seen rarely in emergencies and should be treated. Sometimes life-threatening complications may develop. Other disorders in differential diagnosis should be eliminated in spontaneous pneumomediastinum.

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confidence: 99%

Hamman's Syndrome (Spontaneous Pneumomediastinum)

Tezcan

Özsoy

2019

Harran Üniversitesi Tıp Fakültesi Dergisi

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“…The clinical time course in which the symptoms improve range from 24-48 hours and the complete x-ray resolution generally takes about a week ( 9 ). Long time follow-up is not recommended due to the facts that: complications associated with SPM rarely occur, the recurrence-incidence is low, and the entity is characterized by a spontaneous recovery ( 10 ). Subsequently we did not performed a follow-up CT-scan in the presented case, because of the patient’s unremarkable clinical condition.…”

Section: Discussionmentioning

confidence: 99%

Spontaneous Pneumomediastinum in a Teenager After Physical Exercise: a Benign and Rare, but Sometimes Challenging, Entity

et al. 2020

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Introduction: Pneumomediastinum defines a condition in which free air is present in the mediastinum usually caused by alveolar rupture resulting from a sudden increase in the intrathoracic pressure and air tracking along the tracheobronchial tree. Case report: We present a case of a 16-year-old male patient referred to our department due to persisting odynophagia, and retrosternal chest pain. A performed chest-CT revealed presence of free air in the mediastinum, without evidence of pneumothorax, or subcutaneous emphysema. Under the diagnosis of spontaneous pneumomediastinum (SPM) the treatment included conservative therapy with analgesics, rest, and oxygen. Conclusion: SPM is a rare benign condition with nonspecific presenting clinical signs; thus its diagnosis remains mostly one of exclusion. Thorough history-taking, beside radiographic studies, may be the key to confirm the diagnosis.

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“…In an extensive subcutaneous emphysema small extent of surgical operation as skin incision, small subcutaneous drainage insertion or even chest drain tubes are needed. A follow-up is in all cases recommended after the patient's discharge [1] , [13] , [16] .…”

Section: Discussionmentioning

confidence: 99%

Hamman's syndrome (spontaneous pneumomediastinum presenting as subcutaneous emphysema): A rare case of the emergency department and review of the literature

Grapatsas

Tsilogianni

Leivaditis

et al. 2018

Respiratory Medicine Case Reports

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Pneumomediastinum is a rare clinical entity that concerns the clinicians in the emergency department. We present a case of a patient with spontaneous pneumomediastinum (Hamman's syndrome) that presented to our hospital's emergency department with cervical subcutaneous emphysema. A conservative treatment with observation was performed. The patient after 24 hours of observation was discharged with a suggested follow-up.

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Diagnosis and treatment of spontaneous pneumomediastinum: experience at a single institution for 10 years

Abstract: In addition to chest X-ray, chest CT is recommended for accurate diagnosis of SPM. However, further invasive investigations, restriction of oral intake and the use of prophylactic antibiotics have minimal role in the diagnosis and treatment of SPM.

Cited by 22 publications

References 23 publications

Hamman's Syndrome (Spontaneous Pneumomediastinum)

Hamman's Syndrome (Spontaneous Pneumomediastinum)

Spontaneous Pneumomediastinum in a Teenager After Physical Exercise: a Benign and Rare, but Sometimes Challenging, Entity

Hamman's syndrome (spontaneous pneumomediastinum presenting as subcutaneous emphysema): A rare case of the emergency department and review of the literature

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