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 Table of Contents  
IMAGES IN MEDICINE
Year : 2020  |  Volume : 33  |  Issue : 3  |  Page : 180

Hamman syndrome


1 Department of Medicine, Military Hospital, Chennai, Tamil Nadu, India
2 Department of Radiodiagnosis, Military Hospital, Chennai, Tamil Nadu, India
3 Department of Medicine and Oncology, Command Hospital, Bengaluru, Karnataka, India

Date of Web Publication17-Apr-2021

Correspondence Address:
J Sankar
Department of Medicine, Military Hospital, Chennai, Tamil Nadu
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0970-258X.314008


How to cite this article:
Sankar J, Uniyal M, Kumar K. Hamman syndrome. Natl Med J India 2020;33:180

How to cite this URL:
Sankar J, Uniyal M, Kumar K. Hamman syndrome. Natl Med J India [serial online] 2020 [cited 2021 Oct 23];33:180. Available from: http://www.nmji.in/text.asp?2020/33/3/180/314008

A 19-year-old male, without any previous comorbid conditions, presented to the emergency department with a history of swelling in the neck, hoarseness of voice and fever for 1 day. Clinically, he had tachycardia, and there was crepitation in the neck and anterior chest wall on palpation. His past medical history was non-contributory, and he was not on any medication. He denied any history of trauma, surgery or any medical procedure. On chest X-ray posteroanterior view, subcutaneous emphysema was confirmed. Non-contrast computed tomography of the chest showed mediastinal and subcutaneous emphysema but no pneumothorax [Figure 1] and [Figure 2]. Bronchoscopy and oesophagoscopy revealed no abnormality. Electrocardiogram showed sinus tachycardia. He was observed in the intensive care unit on 100% oxygen support, and the subcutaneous emphysema gradually resolved over 72 hours. Hamman syndrome (spontaneous pneumomediastinum presenting as subcutaneous emphysema), often idiopathic, is a rare clinical entity. Its incidence is <1:44 000, with a male predominance.[1] Patients can present with thoracic pain, dyspnoea, swelling in the neck, dysphagia, fever or hoarseness of voice. Conservative management is required with follow-up.[2] It is a benign entity with good prognosis. Drainage of subcutaneous air by a microdrainage catheter or skin incisions may be required in symptomatic patients with respiratory distress.
Figure 1: X-ray neck lateral view showing subcutaneous emphysema

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Figure 2: Non-contrast computed tomography chest showing subcutaneous emphysema and pneumomediastinum

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Conflict of interest. None declared

 
  References Top

1.
Kouritas VK, Papagiannopoulos K, Lazaridis G, Baka S, Mpoukovinas I, Karavasilis V, et al. Pneumomediastinum. J Thorac Dis 2015;7:S44–S49.  Back to cited text no. 1
    
2.
Jougon JB, Ballester M, Delcambre F, Mac Bride T, Dromer CE, Velly JF, et al. Assessment of spontaneous pneumomediastinum: Experience with 12 patients. Ann Thorac Surg 2003;75:1711–14.  Back to cited text no. 2
    


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  [Figure 1], [Figure 2]



 

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