Hamman syndrome in children - case report

C. Martins, A. Ramalho, Anyne França, Ana Carolina Gaudard, Victor Farsoun Junior
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Abstract

OBJECTIVE: To report a rare case of spontaneous pneumomediastinum that occurred in childhood. CASE REPORT: Male patient, eight years old, with cough, dyspnea, and goring, with no improvement in asthma treatment, venous corticoid base and inhaled bronchodilator. Patient underwent extensive investigation with imaging tests that suggested and confirmed a diagnosis of pneumomediastinum, excluding external causes - such as trauma or chest surgery - that could be clearly related to the observed characteristics. The patient had spontaneous involution with supportive treatment. CONCLUSION: Diagnostic confirmation syndrome by image, usually of benign evolution, with spontaneous resolution and only need of supportive treatment.
儿童哈曼综合征病例报告
目的:报告一例罕见的儿童期自发性纵隔气肿。病例报告:男性患者,8岁,咳嗽,呼吸困难,高歌,哮喘治疗无改善,静脉皮质激素基础和吸入支气管扩张剂。患者接受了广泛的影像学检查,影像学检查提示并确认了纵膈气的诊断,排除了可能与观察到的特征明显相关的外部原因,如创伤或胸部手术。患者经支持治疗后自发性复发。结论:影像学诊断确证综合征,多为良性发展,可自行消退,只需支持性治疗。
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