Hamman’s Syndrome Accompanied by Diabetic Ketoacidosis; a Case Report
Archives of Academic Emergency Medicine,
Vol. 10 No. 1 (2022),
1 January 2022
,
Page e68
https://doi.org/10.22037/aaem.v10i1.1709
Abstract
Hamman’s syndrome is an uncommon clinical entity characterized by an idiopathic spontaneous pneumomediastinum as a result of a sudden increase in intra-alveolar pressure. It can be triggered by repeated vomiting or Kussmaul breathing associated with diabetic ketoacidosis (DKA). Substantially, careful attention to this particular condition is needed to avoid underdiagnosis and to provide optimal management. Herein, we report a case of an 18-year-old man complaining of chest discomfort and progressive weight loss, ultimately diagnosed with Hamman’s syndrome secondary to DKA. The patient’s symptoms disappeared after intravenous fluid and insulin administration, while his pneumomediastinum resolved following conservative treatment. Our report highlights the importance of recognition of the links between pneumomediastinum and DKA.
- Hamman’s syndrome
- Diabetic ketoacidosis
- Pneumomediastinum
How to Cite
References
Alkhuja S, Gazizov N, Charles G. Pneumomediastinum Complicating Diabetic Ketoacidosis and Boerhaave's Syndrome. Case Rep Med. 2013;2013:598720.
Pooyan P, Puruckherr M, Summers JA, Byrd RP, Roy TM. Pneumomediastinum, pneumopericardium, and epidural pneumatosis in DKA. Journal of Diabetes and its Complications. 2004;18(4):242-7.
Gill I, Edhi AI, Cappell MS. Proposed characterization of the syndrome of epidural pneumatosis (pneumorrhachis) in patients with forceful vomiting from diabetic ketoacidosis as a clinico-radiologic pentad based on systematic literature review & an illustrative case report. Medicine (Baltimore). 2020;99(35):e21001.
Hayashi H, Nagao N, Yamazaki K, Asai R, Tanaka C, Kawai M. Spontaneous esophageal rupture managed with endoscopic closure using an over-the-scope clip: A case report. Int J Surg Case Rep. 2021 Mar;80:105691.
Pain AR, Pomroy J, Benjamin A. Hamman's syndrome in diabetic ketoacidosis. Endocrinol Diabetes Metab Case Rep. 2017;17-0135.
Pauw RG, van der Werf TS, van Dullemen HM, Dullaart RP. Mediastinal emphysema complicating diabetic ketoacidosis: plea for conservative diagnostic approach. Neth J Med. 2007;65(10):368-71.
Hu Y, Ma Z, Guo Z, Zhao F, Wang Y, Cai L, et al. Type 1 Diabetes Mellitus is an Independent Risk Factor for Pulmonary Fibrosis. Cell Biochemistry and Biophysics. 2014;70(2):1385-91.
Sahebjami H, Vassallo CL, Wirman JA. Lung mechanics and ultrastructure in prolonged starvation. Am Rev Respir Dis. 1978;117(1):77-83.
Kitabchi AE, Wall BM. Diabetic ketoacidosis. Med Clin North Am. 1995;79(1):9–37.
- Abstract Viewed: 783 times
- pdf Downloaded: 404 times
Download Statastics
Make a Submission
SJR
COPE
