Abstract

Hamman's syndrome accompanied by pneumorrhachis.

Highlights

  • Spontaneous pneumomediastinum, or Hamman’s syndrome, is defined as free air in the mediastinum of no apparent cause, assuming that causes such as trauma, iatrogenic complications, and infections with gas-producing bacteria have been excluded[1]

  • One characteristic clinical sign, which can be detected on auscultation, is the presence of crackles synchronized with the beating of the heart, known as Hamman’s sign or Hamman’s crunch

  • In cases of clinical suspicion of Hamman’s syndrome, computed tomography (CT) can be performed if the chest X-ray findings are normal or inconclusive, because it allows the anatomical localization of the air in axial slices and subsequent reconstructions

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Summary

Introduction

Spontaneous pneumomediastinum, or Hamman’s syndrome, is defined as free air in the mediastinum of no apparent cause, assuming that causes such as trauma, iatrogenic complications, and infections with gas-producing bacteria have been excluded[1]. Clinical findings of Hamman’s syndrome include chest pain, dyspnea, neck pain, and subcutaneous emphysema. One characteristic clinical sign, which can be detected on auscultation, is the presence of crackles synchronized with the beating of the heart, known as Hamman’s sign or Hamman’s crunch.

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