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Updated: Dec 25, 2025
06:15
Protocol and Guidelines for Point-of-Care Lung Ultrasound in Diagnosing Neonatal Pulmonary Diseases Based on International Expert Consensus
Published on: March 6, 2019
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[Hamman's Syndrome (Spontaneous Pneumomediastinum)]
Sónia Santos1, Cátia Ribeiro Santos1, Joana Raquel Monteiro1
1Serviço de Medicina Interna 2, Centro Hospital de Leiria, Leiria, Portugal.
Summary
A young, healthy male experienced chest pain, fever, and difficulty breathing. Conservative treatment successfully resolved his pneumomediastinum, a rare condition involving air in the chest cavity.
Area of Science:
- Cardiology
- Pulmonology
- Radiology
Background:
- A previously healthy 22-year-old male nonsmoker presented with acute retrosternal pain.
- Symptoms included odynophagia, productive cough, fever, and dyspnea, suggesting a serious underlying condition.
Observation:
- Chest radiography revealed a line surrounding the heart and the continuous diaphragm sign.
- Computed tomography confirmed pneumomediastinum and soft tissue emphysema.
Findings:
- Despite the concerning imaging findings, a multidisciplinary team opted against surgical intervention.
- Conservative management led to complete resolution of the pneumomediastinum.
Implications:
- This case highlights the potential for conservative management in select cases of pneumomediastinum.
- It underscores the importance of multidisciplinary evaluation in complex thoracic presentations.
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