Spontaneous Pneumomediastinum

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

“…La inhalación profunda de drogas ilícitas (cocaína, marihuana, éxtasis) [29][30][31][32] . En pacientes sometidos a espirometría durante la maniobra del volumen espiratorio forzado (FEV) y en individuos sanos durante actividades deportivas 33,36 . En nuestros casos el factor desencadenante más asociado fue el antecedente de asma y la inhalación de cocaína.…”

“…Además de los clásicos síntomas y signos ya mencionados de dolor torácico, disnea y enfisema subcutáneo, se han descrito en otras series tortícolis, odinofagia, disfagia, dolor cervical, cambios en el tono de la voz o disfonía y pulso paradojal 19,35,36 . En nuestros casos 6 de los 8 pacientes presentaron dolor torácico, 3 de los 8 disnea y 6 enfisema subcutáneo cervical o toráci-co (Tabla 3).…”

Pneumomediastinum, subcutaneous emphysema, and pneumothorax after a pulmonary function testing in a patient with bleomycin-induced interstitial pneumonitis

“…Its clinical picture includes retrosternal chest pain (most common symptom), subcutaneous emphysema, dyspnea, dysphagia, dysphonia, asthenia, and the classical sign of Hamman's crunch (a crepitant sound that varies with the heartbeat on auscultation of the precordium). (1,2) In most cases, it is possible to identify a triggering event, such as acute exacerbations of asthma. Other known triggers include those related to the Valsalva maneuver, such as strenuous exercise, weight lifting, inhalation of illicit drugs, cough, forced evacuation, and labor, as well as vomiting, respiratory infections, foreign body aspiration, and barotrauma.…”

“…Other known triggers include those related to the Valsalva maneuver, such as strenuous exercise, weight lifting, inhalation of illicit drugs, cough, forced evacuation, and labor, as well as vomiting, respiratory infections, foreign body aspiration, and barotrauma. (1)(2)(3)(4)(5) The disease usually follows a benign, selflimiting course. (1,2) Treatment is supportive, consisting of using painkillers, resting, and avoiding maneuvers that generate an increase in transpulmonary pressure, such as the Valsalva maneuver and spirometry.…”

“…(1)(2)(3)(4)(5) The disease usually follows a benign, selflimiting course. (1,2) Treatment is supportive, consisting of using painkillers, resting, and avoiding maneuvers that generate an increase in transpulmonary pressure, such as the Valsalva maneuver and spirometry. (6) …”