Daher Bouchra, Kouhen Fadila, Afandi Oussama, Laidi Soukaina, Yassine Najiba
Pulmonology, Cheikh Khalifa International University Hospital, Mohammed VI University of Health Sciences (UM6SS), Casablanca, MAR.
Radiotherapy, Cheikh Khalifa International University Hospital, Mohammed VI University of Health Sciences (UM6SS), Casablanca, MAR.
Cureus. 2024 Dec 4;16(12):e75110. doi: 10.7759/cureus.75110. eCollection 2024 Dec.
Hamman syndrome, or spontaneous pneumomediastinum, is a rare condition characterized by the presence of free air in the mediastinum, often triggered by increased intrathoracic pressure from vomiting, coughing, or intense physical exertion. Its association with diabetic ketoacidosis (DKA) is extremely uncommon. We report a case of an 18-year-old male with poorly controlled type 1 diabetes who developed DKA complicated by pneumomediastinum, subcutaneous emphysema, and a small pneumothorax. The condition was likely precipitated by Kussmaul's respiration and severe vomiting. After treatment for DKA with insulin and fluids, the patient improved, and follow-up imaging showed complete resolution of the pneumomediastinum. This case underscores the importance of recognizing and managing this rare complication in patients with DKA.
哈曼综合征，即自发性纵隔气肿，是一种罕见病症，其特征为纵隔内出现游离气体，通常由呕吐、咳嗽或剧烈体力活动导致的胸腔内压力升高所引发。它与糖尿病酮症酸中毒（DKA）的关联极为罕见。我们报告一例18岁1型糖尿病控制不佳的男性患者，该患者发生了DKA，并伴有纵隔气肿、皮下气肿和少量气胸。病情可能由库斯莫尔呼吸和严重呕吐诱发。在用胰岛素和液体治疗DKA后，患者病情好转，后续影像学检查显示纵隔气肿完全消退。该病例强调了识别和处理DKA患者中这种罕见并发症的重要性。
