array:22 [
  "pii" => "S021056911930230X"
  "issn" => "02105691"
  "doi" => "10.1016/j.medin.2019.09.012"
  "estado" => "S300"
  "fechaPublicacion" => "2021-08-01"
  "aid" => "1396"
  "copyright" => "Elsevier España, S.L.U. y SEMICYUC"
  "copyrightAnyo" => "2019"
  "documento" => "article"
  "crossmark" => 1
  "subdocumento" => "sco"
  "cita" => "Med Intensiva. 2021;45:385"
  "abierto" => array:3 [
    "ES" => true
    "ES2" => true
    "LATM" => true
  ]
  "gratuito" => true
  "lecturas" => array:2 [
    "total" => 8
    "formatos" => array:2 [
      "HTML" => 4
      "PDF" => 4
    ]
  ]
  "itemAnterior" => array:18 [
    "pii" => "S0210569120301820"
    "issn" => "02105691"
    "doi" => "10.1016/j.medin.2020.05.014"
    "estado" => "S300"
    "fechaPublicacion" => "2021-08-01"
    "aid" => "1531"
    "copyright" => "Elsevier España, S.L.U. y SEMICYUC"
    "documento" => "simple-article"
    "crossmark" => 1
    "subdocumento" => "cor"
    "cita" => "Med Intensiva. 2021;45:383-4"
    "abierto" => array:3 [
      "ES" => true
      "ES2" => true
      "LATM" => true
    ]
    "gratuito" => true
    "lecturas" => array:1 [
      "total" => 0
    ]
    "en" => array:11 [
      "idiomaDefecto" => true
      "cabecera" => "<span class="elsevierStyleTextfn">Letter to the Editor</span>"
      "titulo" => "COVID-19 mortality and health-care resources&#58; Organization"
      "tienePdf" => "en"
      "tieneTextoCompleto" => "en"
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "383"
          "paginaFinal" => "384"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "es" => array:1 [
          "titulo" => "Mortalidad de COVID-19 y recursos sanitarios&#58; organizaci&#243;n"
        ]
      ]
      "contieneTextoCompleto" => array:1 [
        "en" => true
      ]
      "contienePdf" => array:1 [
        "en" => true
      ]
      "resumenGrafico" => array:2 [
        "original" => 0
        "multimedia" => array:7 [
          "identificador" => "fig0005"
          "etiqueta" => "Figure 1"
          "tipo" => "MULTIMEDIAFIGURA"
          "mostrarFloat" => true
          "mostrarDisplay" => false
          "figura" => array:1 [
            0 => array:4 [
              "imagen" => "gr1.jpeg"
              "Alto" => 715
              "Ancho" => 2174
              "Tamanyo" => 76141
            ]
          ]
          "descripcion" => array:1 [
            "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">&#40;a&#41; The correlation between the case fatality rate and the COVID-19 incidence&#59; &#40;b&#41; the inverse correlation between the case fatality rate and the ICU admission rate &#40;number of people admitted to the ICU to total inpatient rate&#41;&#46;</p>"
          ]
        ]
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "P&#46; Immovilli, N&#46; Morelli, E&#46; Rota, D&#46; Guidetti"
          "autores" => array:4 [
            0 => array:2 [
              "nombre" => "P&#46;"
              "apellidos" => "Immovilli"
            ]
            1 => array:2 [
              "nombre" => "N&#46;"
              "apellidos" => "Morelli"
            ]
            2 => array:2 [
              "nombre" => "E&#46;"
              "apellidos" => "Rota"
            ]
            3 => array:2 [
              "nombre" => "D&#46;"
              "apellidos" => "Guidetti"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "en"
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0210569120301820?idApp=WMIE"
    "url" => "/02105691/0000004500000006/v1_202107200632/S0210569120301820/v1_202107200632/en/main.assets"
  ]
  "en" => array:14 [
    "idiomaDefecto" => true
    "cabecera" => "<span class="elsevierStyleTextfn">Images in Intensive Medicine</span>"
    "titulo" => "Hamman&#39;s syndrome in a child"
    "tieneTextoCompleto" => true
    "paginas" => array:1 [
      0 => array:1 [
        "paginaInicial" => "385"
      ]
    ]
    "autores" => array:1 [
      0 => array:3 [
        "autoresLista" => "Y&#46;A&#46; Kamal"
        "autores" => array:1 [
          0 => array:3 [
            "nombre" => "Y&#46;A&#46;"
            "apellidos" => "Kamal"
            "email" => array:2 [
              0 => "yaser_ali_kamal@yahoo.com"
              1 => "Yasser.Ali@mu.edu.eg"
            ]
          ]
        ]
        "afiliaciones" => array:1 [
          0 => array:2 [
            "entidad" => "Department of Cardiothoracic Surgery&#44; Faculty of Medicine&#44; Minia University&#44; El-Minia&#44; Egypt"
            "identificador" => "aff0005"
          ]
        ]
      ]
    ]
    "titulosAlternativos" => array:1 [
      "es" => array:1 [
        "titulo" => "S&#237;ndrome de Hamman en un ni&#241;o"
      ]
    ]
    "resumenGrafico" => array:2 [
      "original" => 0
      "multimedia" => array:6 [
        "identificador" => "fig0005"
        "etiqueta" => "Figure 1"
        "tipo" => "MULTIMEDIAFIGURA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "figura" => array:1 [
          0 => array:4 [
            "imagen" => "gr1.jpeg"
            "Alto" => 700
            "Ancho" => 1200
            "Tamanyo" => 116106
          ]
        ]
      ]
    ]
    "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">A 5-year-old boy presented to the emergency department with sudden progressive swelling of the neck&#44; without a history of trauma or medical disease&#46; On examination&#44; there was a crepitus over the neck and upper chest wall&#46; A crunching sound synchronous with the heartbeat was auscultated at the left sternal border &#40;<a class="elsevierStyleCrossRef" href="#sec0020">Supplementary file&#44; Audio waveform</a>&#41;&#46; Computed tomography &#40;CT&#41; showed an extensive subcutaneous emphysema &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Fig&#46; 1</a>A and B&#44; arrowheads&#41;&#44; pneumomediastinum &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Fig&#46; 1</a>A and B&#44; red arrows&#41;&#44; and interstitial air dissection known as Macklin&#39;s effect &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Fig&#46; 1</a>A and B&#44; white arrows&#41;&#46; The findings on CT were consistent with the diagnosis of Hamman&#39;s syndrome associated with spontaneous rupture of alveoli&#46; The condition improved after decompression of the subcutaneous emphysema with cervical skin incision&#44; and the patient was discharged on the fifth day of admission&#46;</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0005">Funding</span><p id="par0010" class="elsevierStylePara elsevierViewall">None declared&#46;</p></span><span id="sec0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0010">Conflict of interests</span><p id="par0030" class="elsevierStylePara elsevierViewall">The authors declare no conflict of interest&#46;</p></span></span>"
    "textoCompletoSecciones" => array:1 [
      "secciones" => array:2 [
        0 => array:2 [
          "identificador" => "sec0005"
          "titulo" => "Funding"
        ]
        1 => array:2 [
          "identificador" => "sec0010"
          "titulo" => "Conflict of interests"
        ]
      ]
    ]
    "pdfFichero" => "main.pdf"
    "tienePdf" => true
    "apendice" => array:1 [
      0 => array:1 [
        "seccion" => array:1 [
          0 => array:4 [
            "apendice" => "<p id="par0025" class="elsevierStylePara elsevierViewall"><elsevierMultimedia ident="upi0005"></elsevierMultimedia></p>"
            "etiqueta" => "Appendix A"
            "titulo" => "Supplementary data"
            "identificador" => "sec0020"
          ]
        ]
      ]
    ]
    "multimedia" => array:2 [
      0 => array:6 [
        "identificador" => "fig0005"
        "etiqueta" => "Figure 1"
        "tipo" => "MULTIMEDIAFIGURA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "figura" => array:1 [
          0 => array:4 [
            "imagen" => "gr1.jpeg"
            "Alto" => 700
            "Ancho" => 1200
            "Tamanyo" => 116106
          ]
        ]
      ]
      1 => array:5 [
        "identificador" => "upi0005"
        "tipo" => "MULTIMEDIAECOMPONENTE"
        "mostrarFloat" => false
        "mostrarDisplay" => true
        "Ecomponente" => array:3 [
          "fichero" => "mmc1.mp4"
          "ficheroTamanyo" => 280874
          "Video" => array:2 [
            "mp4" => array:5 [
              "fichero" => "mmc1.m4v"
              "poster" => "mmc1.jpg"
              "tiempo" => 0
              "alto" => 0
              "ancho" => 0
            ]
            "flv" => array:5 [
              "fichero" => "mmc1.flv"
              "poster" => "mmc1.jpg"
              "tiempo" => 0
              "alto" => 0
              "ancho" => 0
            ]
          ]
        ]
      ]
    ]
  ]
  "idiomaDefecto" => "en"
  "url" => "/02105691/0000004500000006/v1_202107200632/S021056911930230X/v1_202107200632/en/main.assets"
  "Apartado" => array:4 [
    "identificador" => "66261"
    "tipo" => "SECCION"
    "es" => array:2 [
      "titulo" => "Imagen en medicina intensiva"
      "idiomaDefecto" => true
    ]
    "idiomaDefecto" => "es"
  ]
  "PDF" => "https://static.elsevier.es/multimedia/02105691/0000004500000006/v1_202107200632/S021056911930230X/v1_202107200632/en/main.pdf?idApp=WMIE&text.app=https://medintensiva.org/"
  "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S021056911930230X?idApp=WMIE"
]
Compartir
Información de la revista
Vol. 45. Núm. 6.
Páginas 385 (agosto - septiembre 2021)
Compartir
Compartir
Descargar PDF
Más opciones de artículo
Vol. 45. Núm. 6.
Páginas 385 (agosto - septiembre 2021)
Images in Intensive Medicine
Acceso a texto completo
Hamman's syndrome in a child
Síndrome de Hamman en un niño
Visitas
4055
Y.A. Kamal
Department of Cardiothoracic Surgery, Faculty of Medicine, Minia University, El-Minia, Egypt
Este artículo ha recibido
Información del artículo
Texto completo
Descargar PDF
Estadísticas
Figuras (1)
Material adicional (1)
Texto completo

A 5-year-old boy presented to the emergency department with sudden progressive swelling of the neck, without a history of trauma or medical disease. On examination, there was a crepitus over the neck and upper chest wall. A crunching sound synchronous with the heartbeat was auscultated at the left sternal border (Supplementary file, Audio waveform). Computed tomography (CT) showed an extensive subcutaneous emphysema (Fig. 1A and B, arrowheads), pneumomediastinum (Fig. 1A and B, red arrows), and interstitial air dissection known as Macklin's effect (Fig. 1A and B, white arrows). The findings on CT were consistent with the diagnosis of Hamman's syndrome associated with spontaneous rupture of alveoli. The condition improved after decompression of the subcutaneous emphysema with cervical skin incision, and the patient was discharged on the fifth day of admission.

Figure 1
(0.11MB).
Funding

None declared.

Conflict of interests

The authors declare no conflict of interest.

Copyright © 2019. Elsevier España, S.L.U. y SEMICYUC
Descargar PDF
Idiomas
Medicina Intensiva
Opciones de artículo
Herramientas
Material suplementario