Neumomediastino espontáneo (síndrome de Hamman): Una enfermedad benigna mal diagnosticada

• Carlos Álvarez Z ^[1] ; Andrés   Jadue T ^[2] ; Francisco   Rojas R ^[2] ; César   Cerda C ^[3] ; Miguel Ramírez V ^[4] ; Carlos Cornejo S ^[5]
  1. [1] Universidad de Santiago de Chile

     Universidad de Santiago de Chile

     Santiago, Chile

     
  2. [2] Universidad de Chile

     Universidad de Chile

     Santiago, Chile

     
  3. [3] Universidad de Valparaíso

     Universidad de Valparaíso

     Valparaíso, Chile

     
  4. [4] Dirección de Salud Rural de Aysén
  5. [5] Complejo Asistencial Barros Luco (CABL) Servicio de Cirugía Equipo de Cirugía de Tórax

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• Localización: Revista Médica de Chile, ISSN-e 0034-9887, Vol. 137, Nº. 8, 2009, págs. 1045-1050
• Idioma: español
• Títulos paralelos:
  • Spontaneous pneumomediastinum: Review of eight cases
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• Resumen

  • Background: Hamman syndrome or spontaneous pneumomediastinum is uncommon and its clinical manifestations are chest pain, dyspnea and subcutaneous emphysema. Aim: To report a series of patients with spontaneous pneumomediastinum. Material and methods: Medical records of patients with the diagnosis of pneumomediastinum, managed between 2002 and 2007 in a public hospital, were retrieved and reviewed. Results: Eight patients aged between 16 and 41 years (five males) were identified. The most common symptom was chest pain and the most common sign was subcutaneous emphysema. A chest X ray was performed in all and a chest CT scan in seven. AH were managed conservatively with oxygen, analgesia and rest. No patient required surgery and the evolution was favorable. Conclusions: The most common presenting complaint of spontaneous pneumomediastinum is chest pain and its management does not require surgery.