EAS Publisher | Spontaneous Pneumomediastinum with Subcutaneous Emphysema (Hamman’s Syndrome) – An Uncommon Scenario in a 3 Months Antenatal Woman

Spontaneous Pneumomediastinum with Subcutaneous Emphysema (Hamman’s Syndrome) – An Uncommon Scenario in a 3 Months Antenatal Woman

DOI : https://doi.org/10.36349/EASJMS.2020.v02i03.003

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Spontaneous pneumomediastinum with subcutaneous emphysema is a rare emergent situation in which there is triad of symptoms like chest pain, swelling in the neck, chest wall and dyspnea with no demonstrable etiology. The common factors that can lead to Hamman’s syndrome are vigorous Valsalva maneuver during parturition, excessive retching, vomiting and violent coughing episode in acute asthmatic situations. It warrants a complete work-up to rule out serious underlying illness related to perforation of aero digestive tract. We present a lady with 3 months antenatal history with repeated vomiting, swelling of neck and chest wall. Clinical examination, MRI chest and neck confirmed the diagnosis of Hamman’s syndrome. She was managed conservatively and discharged home after 2days of observation. Hamman’s syndrome is reported in the immediate post-delivery status and quite unheard in the first trimester of pregnancy. Our case is unique in this aspect and we caution the emergency physician of this rare disorder about this illness.

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