A rare case of spontaneous pneumomediastinum

A rare case of spontaneous pneumomediastinum

Andropova P.L., Gavrilov P.V., Vasiliev N. S., Melnik S. I.,

Shmeleva I.S., Trofimova T.N.

Spontaneous pneumomediastinum or Hamman syndrome (HS) is a rare independent disease, defined as the presence of free air in the mediastinal structures and follows a benign course.

Purpose. To show the difficulty of diagnosis and features of treatment in spontaneous pneumomediastinum.

Materials and methods. A 4-year-old girl with a history of persistent continuous cough was conducted by a comprehensive clinical and radiological examination, including chest computed tomography (MSCT) before and after clinical monitoring, bronchoscopy and esophagoscopy.

Results. Chest MSCT demonstrated a free air in the mediastinum. A course of conservative therapy was conducted after exclusion of the esophagus perforation and the left main bronchus fistula. At follow-up after 20 days - regression of a previously observed state.

Conclusion. In our work, we demonstrated a case of spontaneous pneumomediastinum, illustrating the need for proper interpretation and selection of diagnostic procedures, because in the absence of complications, this condition is effectively amenable to conservative treatment.

1 – St. Petersburg

Research Institute of Phthisiopneumology.

2 – St. Petersburg

University.

3 - Institute of the

human brain of the

Russian Academy of Sciences.

Saint Petersburg, Russia

 

Keywords: MSCT, spontaneous pneumomediastinum, childhood.


Corresponding author:  Andropova P.L., e-mail: Этот e-mail адрес защищен от спам-ботов, для его просмотра у Вас должен быть включен Javascript

 

For citation: Andropova P.L., Gavrilov P.V., Vasiliev N. S., Melnik S. I.,

Shmeleva I.S., Trofimova T.N. A rare case of spontaneous pneumomediastinum. REJR 2019; 9(2):255-259. DOI:10.21569/2222-7415-2019-9-2-255-259.

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Received:        10.05.19 Accepted:       14.06.19