Hamman syndrome in an 18-year-old male patient.

Laura Campos Modesto, Pedro Rodrigo Magalhães Negreiros de Almeida, Vitorino Modesto Dos Santos, Fernanda Silva Bertulucci Angotti, Lilian Sousa Santana, Nathalia Gadelha Costa Hentges
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Abstract

In 1939, Hamman´s syndrome, also know as spontaneous pneumomediastinum, was characterized by the presence of pneumothorax, subcutaneous emphysema, and pneumorrhachis. It is believed to arise from barotrauma during vaginal labor, causing alveolar membrane rupture and subsequent air leakage. Clinical manifestations are often nonspecific. Management strategies vary based on symptom severity and complications, high-concentrations oxygen therapy promoting air absorption. We present the case of an 18-year-old male patient with a history of bronchial asthma and tobacco use, underscoring the need for heightened awareness of Hamman´s syndrome in similar cases. Prompt diagnosis and appropriate management are crucial to prevent or quickly address potential life-threatening complications. Diagnosing this syndrome in male patients can be particularly challenging, as it was initially associated with complications from vaginal labor, potentially leading to poorer outcomes.

一名 18 岁男性患者的 Hamman 综合征。
1939 年,哈曼氏综合征(Hamman´s Syndrome)又称自发性气胸,其特征是出现气胸、皮下气肿和气臌。据认为,它是由阴道分娩时的气压创伤引起的,导致肺泡膜破裂和随后的漏气。临床表现通常没有特异性。根据症状严重程度和并发症的不同,治疗策略也有所不同,高浓度氧疗可促进空气吸收。我们介绍了一名 18 岁男性患者的病例,该患者有支气管哮喘和吸烟史,强调了在类似病例中提高对哈曼综合征认识的必要性。及时诊断和适当治疗对于预防或快速处理潜在的危及生命的并发症至关重要。在男性患者中诊断这种综合征尤其具有挑战性,因为它最初与阴道分娩的并发症有关,可能导致较差的预后。
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