TY - JOUR

T1 - РЕДКИЙ СЛУЧАЙ СПОНТАННОГО ПНЕВМОМЕДИАСТИНУМА

AU - Andropova, P. L.

AU - Gavrilov, P. V.

AU - Vasiliev, N. S.

AU - Melnik, S. I.

AU - Shmeleva, I. S.

AU - Trofimova, T. N.

PY - 2019/1/1

Y1 - 2019/1/1

N2 - 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.

AB - 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.

KW - Childhood

KW - MSCT

KW - Spontaneous pneumomediastinum

UR - http://www.scopus.com/inward/record.url?scp=85073660167&partnerID=8YFLogxK

U2 - 10.21569/2222-7415-2019-9-2-255-259

DO - 10.21569/2222-7415-2019-9-2-255-259

M3 - статья

AN - SCOPUS:85073660167

VL - 9

SP - 255

EP - 259

JO - Российский Электронный Журнал Лучевой Диагностики

JF - Российский Электронный Журнал Лучевой Диагностики

SN - 2222-7415

IS - 2

ER -