Abstract
Spontaneous pneumomediastinum (Hamman's
syndrome) is a rare, self-limiting disorder commonly seen in young adult males.
It occurs by the flow of air towards to the hilum and mediastinum due to increaced
intrathoracic pressure secondary to alveolar rupture. The cases usually present
with the complaints of chest pain, neck pain, back pain, dysphonia, dysphagia
and coughing. In this article, we present a case of spontaneous
pneumomediastinum (SPM), who admitted to the pediatric emergency clinic with the
complaint of chest pain. SPM should be
kept in mind in the differential diagnosis of chest pain.
Keywords
References
- 1. Versteegh FG, Broeders IA. Spontaneous pneumomediastinum in children. Eur J Pediatr. 1991 Mar;150(5):304-7.
- 2. Lee CY, Wu CC, Lin CY. Etiologies of spontaneous pneumomediastinum in children in middle Taiwan. Pediatr Pulmonol. 2010 Sep;45(9):869-73.
- 3. Caceres M, Ali SZ, Braud R, Weiman D, Garrett HE Jr. Spontaneous pneumomediastinum: a comparative study and review of the literature. Ann Thorac Surg. 2008 Sep;86(3):962-6.
- 4. Chalumeau M, Le Clainche L, Sayeg N, Sannier N, Michel JL, Marianowski R and et al. Spontaneous pneumomediastinum in children. Pediatr Pulmonol. 2001 Jan;31(1):67-75.
- 5. Ralph-Edwards AC, Pearson FG. Atypical presentation of spontaneous pneumomediastinum. Ann Thorac Surg. 1994 Dec;58(6):1758-60.
- 6. Hamman L. Spontaneous mediastinal emphysema. Bull Johns Hopkins Hosp. 1939;64:1-21.
- 7. Dekel B, Paret G, Szeinberg A, Vardi A, Barzilay Z. Spontaneous pneumomediastinum in children: clinical and natural history. Eur J Pediatr. 1996 Aug;155(8):695-7.
- 8. McSweeney WJ, Stempel DA. Non-iatrogenic pneumomediastinum in infancy and childhood. Pediatr Radiol. 1973 Oct;1(3):139-44.
- 9. Panacek EA, Singer AJ, Sherman BW, Prescott A, Rutherford WF. Spontaneous pneumomediastinum: clinical and natural history. Ann Emerg Med. 1992 Oct;21(10):1222-7.
- 10. Johnson NN, Toledo A, Endom EE. Pneumothorax, pneumomediastinum, and pulmonary embolism. Pediatr Clin North Am. 2010 Dec;57(6):1357-83.
- 11. Okada M, Adachi H, Shibuya Y, Ishikawa S, Hamabe Y. Diagnosis and treatment of patients with spontaneous pneumomediastinum. Respir Investig. 2014 Jan;52(1):36-40.
- 12. Öztürk K, Çetin İİ, Ekici F, Kocabaş A, Şaylı TR. Göğüs ağrısı yakınması ile başvuran çocukların etiyolojik açıdan değerlendirilmesi. Türkiye Çocuk Hast Derg. 2015;9(4).
Abstract
Spontan
pnömomediastinum (Hamman’s sendromu) nadir görülen, kendini sınırlayan
genellikle genç erişkin erkeklerde görülen bir hastalıktır. Pulmoner interstisyumda
alveolar rüptüre sekonder intratorasik basınç artışı sonucu, havanın hilum ve
mediastene doğru ilerlemesi sonucu ortaya çıkar. Olgular çoğunlukla göğüs
ağrısı, boyun ağrısı, sırta yayılan ağrı, ses kısıklığı, yutma güçlüğü ve
öksürük şikayetleri ile başvururlar. Bu
yazıda çocuk acil
kliniğine göğüs ağrısı ile başvurup, değerlendirme sonrası spontan
pnömomediastinum (SPM) saptanan olgumuz,
göğüs ağrısının ayırıcı tanısında SPM’ye dikkat çekmek amacıyla sunulmuştur.
Keywords
References
- 1. Versteegh FG, Broeders IA. Spontaneous pneumomediastinum in children. Eur J Pediatr. 1991 Mar;150(5):304-7.
- 2. Lee CY, Wu CC, Lin CY. Etiologies of spontaneous pneumomediastinum in children in middle Taiwan. Pediatr Pulmonol. 2010 Sep;45(9):869-73.
- 3. Caceres M, Ali SZ, Braud R, Weiman D, Garrett HE Jr. Spontaneous pneumomediastinum: a comparative study and review of the literature. Ann Thorac Surg. 2008 Sep;86(3):962-6.
- 4. Chalumeau M, Le Clainche L, Sayeg N, Sannier N, Michel JL, Marianowski R and et al. Spontaneous pneumomediastinum in children. Pediatr Pulmonol. 2001 Jan;31(1):67-75.
- 5. Ralph-Edwards AC, Pearson FG. Atypical presentation of spontaneous pneumomediastinum. Ann Thorac Surg. 1994 Dec;58(6):1758-60.
- 6. Hamman L. Spontaneous mediastinal emphysema. Bull Johns Hopkins Hosp. 1939;64:1-21.
- 7. Dekel B, Paret G, Szeinberg A, Vardi A, Barzilay Z. Spontaneous pneumomediastinum in children: clinical and natural history. Eur J Pediatr. 1996 Aug;155(8):695-7.
- 8. McSweeney WJ, Stempel DA. Non-iatrogenic pneumomediastinum in infancy and childhood. Pediatr Radiol. 1973 Oct;1(3):139-44.
- 9. Panacek EA, Singer AJ, Sherman BW, Prescott A, Rutherford WF. Spontaneous pneumomediastinum: clinical and natural history. Ann Emerg Med. 1992 Oct;21(10):1222-7.
- 10. Johnson NN, Toledo A, Endom EE. Pneumothorax, pneumomediastinum, and pulmonary embolism. Pediatr Clin North Am. 2010 Dec;57(6):1357-83.
- 11. Okada M, Adachi H, Shibuya Y, Ishikawa S, Hamabe Y. Diagnosis and treatment of patients with spontaneous pneumomediastinum. Respir Investig. 2014 Jan;52(1):36-40.
- 12. Öztürk K, Çetin İİ, Ekici F, Kocabaş A, Şaylı TR. Göğüs ağrısı yakınması ile başvuran çocukların etiyolojik açıdan değerlendirilmesi. Türkiye Çocuk Hast Derg. 2015;9(4).
Details
| Primary Language | English |
|---|---|
| Subjects | Health Care Administration |
| Journal Section | Case Report |
| Authors | |
| Publication Date | March 5, 2018 |
| Published in Issue | Year 2018 Volume: 49 Issue: 1 |
