Hamman Sendromu (Spontan Pnömomediastinum)

Amaç: Bu çalışmada nadir görülen spontan pnömomediastinuma dikkat çekmek ve klinik tecrübelerimizi aktarmak istedik.Materyal ve Metod: Nisan 2016- Nisan 2018 tarihleri arasında Sağlık Uygulama ve Araştırma Merkezinde yatırılıp tedavi edilen spontan pnömomediastinum’lu 12 hastayı retrospektif olarak değerlendirdik.Bulgular: Spontan pnömomediastinumlu 12 hastanın 9’u erkek (%75) ve 3’ü (%25) kadındı. Hastaların yaş ortalaması 30,5 (15-42 yaş) idi. İki hasta şişme ve dispne, 1 hasta öksürük ve kusma, 1 hasta öksürük ve göğüs ağrısı, 3 hasta dispne ve göğüs ağrısı, 3 hasta boğaz ve göğüs ağrısı ve 2 hasta diş çekimi sonrası boyunda şişme şikâyeti ile acil servise kabul edildi. Hastaların 6’sında (%50) sigara hikayesi mevcuttu.Sonuç: Spontan pnömomediastinum, acilde nadir görülen, hayatı tehdit eden komplikasyonlar gelişebilecek tedavi edilmesi gerekli bir hastalıktır. Spontan pnömomediastinum’lu hastalarda diğer hastalıklar elimine edilmelidir. Anahtar kelimeler: Spontan pnömomediastinum, Dispne, Göğüs ağrısı, Cilt altı amfizem

Anahtar Kelimeler:

Spontan pnömomediastinum, dispne, göğüs ağrısı, subkutan amfizem

Hamman's Syndrome (Spontaneous Pneumomediastinum)

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. Keywords: Spontaneous pneumomediastinum, Dyspnea, Chest pain, Subcutaneous emphysema

Keywords:

Spontaneous pneumomediastinum, dyspnea, chest pain, subcutaneous emphysema,

PDF

___

References1. Macia I, Moya J, Ramos R, et al. Spontaneous pneumomediastinum: 41 cases. Eur J Cardiothorac Surg 2007;31:1110–4.2. Mondello B, Pavia R, Ruggeri P, et al. Spontaneous pneumomediastinum: experience in 18 adult patients. Lung 2007;185:9 –14.3. Campillo-Soto A, Coll-Salinas A, Soria-Aledo V, et al. Spontaneous pneumomediastinum: descriptive study of our experience with 36 cases. Arch Bronconeumol 2005;41:528 –31.4. Weissberg D, Weissberg D. Spontaneous mediastinal emphysema. Eur J Cardiothorac Surg 2004;26:885– 8.5. Koullias GJ, Korkolis DP, Wang XJ, et al. Current assessment and management of spontaneous pneumomediastinum: Experience in 24 adult patients. Eur J Cardiothorac Surg 2004;25:852–5.6. Gerazounis M, Athanassiadi K, Kalantzi N, et al. Spontaneous pneumomediastinum: a rare benign entity. J Thorac Cardiovasc Surg 2003;126:774–6.7. Kaneki T, Kubo K, Kawashima A, et al. Spontaneous pneumomediastinum in 33 patients: yield of chest computed tomography for the diagnosis of the mild type. Respiration 2000;67:408 –11.8. Ito S, Takada Y, Tanaka A, et al. A case of spontaneous pneumomediastinum in a trombonist. Kokyu To Junkan 1989;37:1359-6.9. S.Kelly, S Hughes, S Nixon, et al. Spontaneous pneumomediastinum (Hamman’s syndrome) The surgeon 2010;8: 63 - 6610. Mecklin CC. Transport of air along sheaths of pulmonicblood vessels from alveoli to mediastinum. Arch Int Med 1979;64:913–26.11. Sakai M, Murayama S, Gibo M, et al. Frequent cause of the Macklin effect in spontaneous pneumomediastinum: Demonstration by multidetector-row CT. J Comput Assist Tomogr 2006;30:92–4.12. Newcomb AE, Clarke CP. Spontaneous pneumomediastinum: A Benign Curiosity or a Significant Problem? Chest 2005;128:3298-302.13. Igor A, Isidore S.L, Raphael B, et al. Spontaneous Pneumomediastinum: A Report of 25 Cases. Chest 1991; 100:93-514. Bodey G. Medical Mediastinal Emphysema. Ann Intern Med 1961; 46-5615. Yellin A, Gapany-Gapanavicius M, Lieberman Y. Spontaneou spneumomediastinum: is it a rare cause of chest pain? Thorax 1983;38:383-5.16. Caceres M, Ali SZ, Braud R, et al. Spontaneous Pneumomediastinum: A Comparative Study and Review of the Literature Ann Thorac Surg 2008;86:962– 617. Jougon JB, Ballester M, Delcambre F, et al. Assessment of spontaneous pneumomediastinum: experience with 12 patients. Ann Thorac Surg 2003;75:1711-418. K Takada, S Matsumoto, T Hiramatsu, et al. Management of spontaneous pneumomediastinum based on clinical experience of 25 cases. Respiratory Medicine 2008; 102: 1329 -133419. I Macia, J Moya, R Ramos, et al . Spontaneous pneumomediastinum: 41 cases. European Journal of Cardio-thoracic Surgery 2007;31: 1110 -111420. Ba-Ssalamah A, Schima W, Umek W, et al. Spontaneous pneumomediastinum. Eur Radiol 1999;9:724-7.21. K.Takada, S. Matsumoto, T. Hiramatsu, et al. Spontaneous pneumomediastinum: an algorithm for diagnosis and management, Ther. Adv. Respir. Dis. 2009;3: 301–30722. Koullias GJ, Korkolis DP, Wang XJ, et al. Current assessment and management of spontaneous pneumomediastinum: experience in 24 adult patients, Eur. J. Cardio. Thorac. Surg. Off. J.Eur. Assoc. Cardio. Thorac. Surg. 2004;25:852–855,23. Weissberg D, Weissberg D. Spontaneous mediastinal emphysema. Eur J Cardiothorac Surg 2004;26:885-8.24. Konstantinos G, Zoi T, Vasileios L, et al. Hamman's syndrome (spontaneous pneumomediastinum presenting as subcutaneous emphysema): A rare case of the emergency department and review of the literature Respiratory Medicine Case Reports 2018;23: 63–6525. I.H. Song, S.Y. Lee, S.J. Lee, et al. Diagnosis and treatment of spontaneous pneumomediastinum: experience at a single institution for 10 years, Gen. Thorac. Cardio. Surg. 2017;65: 280–284.