• J Accid Emerg Med · Sep 1997

    Case Reports

    Spontaneous pneumomediastinum.

    • M G Tytherleigh, A A Connolly, and J L Handa.
    • ENT Department, Derriford Hospital, Plymouth.
    • J Accid Emerg Med. 1997 Sep 1; 14 (5): 333-4.

    AbstractSpontaneous pneumomediastinum, or Hamman's syndrome, is a rare condition which may present with the symptoms of chest pain, dyspnoea, dysphagia, or neck pain. The signs of subcutaneous emphysema and Hamman's crunch (the presence of a crepitance sound that varies with the heartbeat on auscultation of the precordium) are usually present. A case of this syndrome occurring in an elderly patient with none of the recognised risk factors is presented.

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