Hamman’s Syndrome: a case report

• Autor(a) principal: Albernaz, Pedro Cardoso Siqueira
• Data de Publicação: 2022
• Outros Autores: Ribeiro, Bruna Arêas, Silva, Danielli Aparecida de Souza, Gama, Mayra Drummond Palmeira
• Tipo de documento: Artigo
• Idioma: por
• Título da fonte: Revista Científica da Faculdade de Medicina de Campos
• Texto Completo: https://revista.fmc.br/ojs/index.php/RCFMC/article/view/536
• topic: Enfisema subcutâneo; Síndrome de Hamman; Pneumomediastino espontâneo; Hamman's Syndrome; Spontaneous pneumomediastinum; Subcutaneos emphysema

Hamman Syndrome (HS) is a rare condition with a low prevalence estimated to be between 0.001% and 0.01%, which is characterized by the presence of air in the mediastinum.It may be related to asthma exacerbation, the practice of high-intensity physical exercise, intensecoughing and inhalation of drugs. The following report aims to inform about the existence of spontaneous pneumomediastinum and to report the case of an asthmatic patient with Hamman syndrome. A 14-year-old Caucasian male patient sought the emergency room with a picture of dry cough and dyspnea, besides intense pain in the neck and chest region after an asthmatic crisis. He reported a previous diagnosis of asthma and irregular use of prednisolone. The patient was admitted and receivednon-invasive monitoring, analgesia, and oral corticosteroids (hydrocortisone), as well as inhaled bronchodilators (fenoterol and ipratropium). After five days of hospitalization, there was substantial reduction of subcutaneous emphysema, with improvement of respiratory auscultation. HS, although an unanticipated condition in theemergency room, is potentially fatal. Thus, a critical view of patients with subcutaneous cervical emphysema, chest pain, and impairment speech is necessary, especially if other causes are excluded. By computed tomography it is possible to achieve an accurate and rapid diagnosis.