Barrera-Hoffmann Christopher, Mariaca-Ortíz Yadira, Rodríguez-Flota Mauro Alejandro, Cerda-García Paul Alejandro, Monares-Zepeda Enrique
Critical Care Medicine, Instituto Mexicano del Seguro Social, Juarez, MEX.
Nephrology, Instituto Nacional de Cardiologia Ignacio Chávez, Mexico City, MEX.
Cureus. 2024 Dec 18;16(12):e75944. doi: 10.7759/cureus.75944. eCollection 2024 Dec.
Hamman's syndrome is characterized by spontaneous pneumomediastinum triggered by Valsalva maneuvers and is an uncommon complication during labor and the postpartum period. It is typically benign and managed conservatively with oxygen therapy and analgesia. We present the clinical case of a 21-year-old primigravida who developed spontaneous pneumomediastinum during labor, manifesting with subcutaneous emphysema and dyspnea. It was documented by a chest X-ray and CT scan, and improved with conservative treatment. The patient was discharged without complications or recurrence. Hamman's syndrome is a rare condition, so recognizing it accurately is fundamental. This allows for timely treatment initiation, detection of complications, and exclusion of other pathologies, all of which affect patient prognosis.
哈曼综合征的特征是由瓦尔萨尔瓦动作引发的自发性纵隔气肿，是分娩和产后期间一种罕见的并发症。它通常为良性，采用氧疗和镇痛进行保守治疗。我们报告了一例21岁初产妇的临床病例，该患者在分娩期间发生自发性纵隔气肿，表现为皮下气肿和呼吸困难。通过胸部X线和CT扫描得以确诊，并经保守治疗后好转。患者出院时无并发症且未复发。哈曼综合征是一种罕见疾病，因此准确识别至关重要。这有助于及时开始治疗、发现并发症并排除其他病变，所有这些都会影响患者的预后。
