Spontaneous pneumomediastinum long-term follow-up

Abstract

SP is an entity that evolves correctly without treatment and has no long-term relapses. Once other occasionally associated entities are ruled out, outpatient management can be employed.

Neumomediastino espontáneo (síndrome de Hamman): Una enfermedad benigna mal diagnosticada

“…Todos se controlaron en policlínica de con un promedio de edad de 20 años 5,8,9,21,22 . En nuestros casos 5 de 8 fueron varones y la edad promedio fue de 25 años.…”

“…La recidiva reportada es poco frecuente 21,36 . Uno de nuestros casos presentó un nuevo episodio al año de seguimiento y también fue de evolución favorable.…”

The Comparison of Therapeutic Approachs for Spontaneous Pneumomediastinum

“…Therefore, the medical history, physical examination, and electrocardiographic evaluation, if necessary, must be well evaluated by radiological and Turkiye Klinikleri J Med Sci 2016;36 (1) endoscopic examination. 1,2,10 In a thorax CT, air is detected in the mediastinum and liquid is detected in the esophagus. The leakage in the esophagus is detected by an esophagography with water-soluble radiopaque material and by a thorax CT. 1,13 For two patients who had a history of vomiting, a thorax CT with water-soluble radiopaque material was used to exclude an esophageal perforation; ultimately, no perforation was detected in these cases.…”

Spontan Pnömomediastinum: İki Vaka

“…Air can be detected very easily with its localization via computerized tomography (3,9) . Contrasted esophageal studies and flexible endoscopic studies have little risks and they are not recommended to be used as a routine diagnosis method; however they must be considered as further analysis methods.…”

“…The crepitations synchronized with heart increasing in insprium and left lateral decubite positions and heard in the apex of the heart during auscultation are called "Hamman's crunch" (1) . It frequently develops in young men without trauma due to excessive physical exercise, the increase of cough and intra abdominal pressure (3) . In addition to this, it is seen in the patients with asthma bronchiole and drug addicts as a result of forcing excessively the esophagus due to vomiting, in Valsalva maneuver and vaginal births (4,5) .…”