<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1727-897X</journal-id>
<journal-title><![CDATA[MediSur]]></journal-title>
<abbrev-journal-title><![CDATA[Medisur]]></abbrev-journal-title>
<issn>1727-897X</issn>
<publisher>
<publisher-name><![CDATA[Universidad de Ciencias Médicas de Cienfuegos, Centro Provincial de Ciencias Médicas, Provincia de Cienfuegos.]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1727-897X2023000400903</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Síndrome de Hamman. Reporte de un caso]]></article-title>
<article-title xml:lang="en"><![CDATA[Hamman syndrome. A case report]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Barrios Viera]]></surname>
<given-names><![CDATA[Osvaldo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[González Machín]]></surname>
<given-names><![CDATA[Marleny]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital General Docente Leopoldito Martínez. San José de las Lajas  ]]></institution>
<addr-line><![CDATA[Mayabeque ]]></addr-line>
<country>Cuba</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>08</month>
<year>2023</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>08</month>
<year>2023</year>
</pub-date>
<volume>21</volume>
<numero>4</numero>
<fpage>903</fpage>
<lpage>909</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S1727-897X2023000400903&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S1727-897X2023000400903&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S1727-897X2023000400903&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN El síndrome de Hamman se caracteriza por la presencia de aire libre en el espacio intersticial del mediastino, asociado a enfisema subcutáneo. Se presenta el caso de un paciente masculino de 19 años de edad, remitido al Servicio de Cirugía General del Hospital General Docente Leopoldito Martínez, por presentar disnea de moderada intensidad, acompañada de aumento súbito de volumen del cuello y región anterior del tórax, posterior a un acceso de tos durante una crisis aguda de asma bronquial. Al examen físico se identificó enfisema subcutáneo en cuello, tórax, pared anterior del abdomen y miembros superiores. Se observó signo de Hamman positivo. Se indicó radiografía y tomografía axial computadorizada simple de tórax, que evidenció el enfisema subcutáneo y el neumomediastino. Se concluyó como un síndrome de Hamman. El tratamiento fue conservador y la evolución satisfactoria. Este síndrome es una entidad poco frecuente y autolimitada, que se presenta generalmente en pacientes jóvenes masculinos, aparentemente sanos. El diagnóstico se define por los estudios de imaginología y el tratamiento conservador es el recomendado. Se presenta este caso con el objetivo de exponer la presentación, diagnóstico y tratamiento de este síndrome.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT Hamman's syndrome is characterized by the presence of free air in the interstitial space of the mediastinum, associated with subcutaneous emphysema. The case of a 19-years-old male patient, referred to the General Surgery Service of the Leopoldito Martínez General Teaching Hospital, presenting with moderate intensity dyspnea, accompanied by a sudden increase in volume of the neck and anterior region of the thorax, after a coughing fit during an acute attack of bronchial asthma is presented. The physical examination identified subcutaneous emphysema in the neck, thorax, anterior wall of the abdomen and upper limbs. A positive Hamman sign was observed. Chest X-ray and simple computed tomography were indicated, showing subcutaneous emphysema and pneumomediastinum. It was concluded as a Hamman syndrome. The treatment was conservative and the evolution was satisfactory. Hamman's syndrome is a rare and self-limiting entity that generally occurs in young, apparently healthy male patients. The diagnosis is defined by imaging studies and conservative treatment is recommended. This case is presented with the aim of exposing the presentation, diagnosis and treatment of this syndrome.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[enfisema neumomediastínico]]></kwd>
<kwd lng="es"><![CDATA[diagnóstico de neumomediastino]]></kwd>
<kwd lng="es"><![CDATA[informe de casos]]></kwd>
<kwd lng="en"><![CDATA[mediastinal emphysema]]></kwd>
<kwd lng="en"><![CDATA[pneummediastinum, diagnostic]]></kwd>
<kwd lng="en"><![CDATA[case reports]]></kwd>
</kwd-group>
</article-meta>
</front><back>
<ref-list>
<ref id="B1">
<label>1</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Prieto García]]></surname>
<given-names><![CDATA[DB]]></given-names>
</name>
<name>
<surname><![CDATA[Díez Hernández]]></surname>
<given-names><![CDATA[DJ]]></given-names>
</name>
<name>
<surname><![CDATA[Yáñez Castaño]]></surname>
<given-names><![CDATA[DS]]></given-names>
</name>
<name>
<surname><![CDATA[González Donadeo]]></surname>
<given-names><![CDATA[DC]]></given-names>
</name>
<name>
<surname><![CDATA[Verdu Seguí]]></surname>
<given-names><![CDATA[DA]]></given-names>
</name>
<name>
<surname><![CDATA[Sagredo Barra]]></surname>
<given-names><![CDATA[DA.]]></given-names>
</name>
</person-group>
<source><![CDATA[¡Que no se te escape! Síndrome de Hamman, el gran infradiagnosticado]]></source>
<year>2021</year>
<publisher-loc><![CDATA[Madrid ]]></publisher-loc>
<publisher-name><![CDATA[Seram]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B2">
<label>2</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Bolaños Morales]]></surname>
<given-names><![CDATA[VF]]></given-names>
</name>
<name>
<surname><![CDATA[Santibáñez Salgado]]></surname>
<given-names><![CDATA[AJ]]></given-names>
</name>
<name>
<surname><![CDATA[Guadarrama Pérez]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Neumomediastino espontáneo en pacientes con COVID-19 Serie de casos]]></article-title>
<collab>Herrera Zamora J J.Armas Zárate JF.Santillán Doherty JP</collab>
<source><![CDATA[Gac Méd Méx]]></source>
<year>2021</year>
<volume>157</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>116-20</page-range></nlm-citation>
</ref>
<ref id="B3">
<label>3</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[García Curdi]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
<name>
<surname><![CDATA[López-Vázquez]]></surname>
<given-names><![CDATA[MA]]></given-names>
</name>
<name>
<surname><![CDATA[Lois-Ortega]]></surname>
<given-names><![CDATA[Y]]></given-names>
</name>
<name>
<surname><![CDATA[Ezpeleta-Badenas]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[López-Buil]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Gil-Grasa]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
<name>
<surname><![CDATA[Vela-Gajón]]></surname>
<given-names><![CDATA[PL]]></given-names>
</name>
<name>
<surname><![CDATA[Vallés-Varela]]></surname>
<given-names><![CDATA[H]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Síndrome de Hamman neumomediastino espontáneo que debuta como enfisema cervicotorácico masivo. Descripción de un caso]]></article-title>
<source><![CDATA[Rev ORL]]></source>
<year>2019</year>
<volume>10</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>153-6</page-range></nlm-citation>
</ref>
<ref id="B4">
<label>4</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Ochoa Suárez]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Batista Leyva]]></surname>
<given-names><![CDATA[MA]]></given-names>
</name>
<name>
<surname><![CDATA[García Enríquez]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<name>
<surname><![CDATA[Reyes Canel]]></surname>
<given-names><![CDATA[O.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Neumomediastino secundario a efecto Macklin: a propósito de un caso.]]></article-title>
<source><![CDATA[Rev Ciencias Médicas]]></source>
<year>2022</year>
<volume>26</volume>
<numero>4</numero>
<issue>4</issue>
</nlm-citation>
</ref>
<ref id="B5">
<label>5</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Carzolio Trujillo]]></surname>
<given-names><![CDATA[HA]]></given-names>
</name>
<name>
<surname><![CDATA[Navarro Tovar]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
<name>
<surname><![CDATA[Padilla Gómez]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Hernández Martínez]]></surname>
<given-names><![CDATA[I]]></given-names>
</name>
<name>
<surname><![CDATA[Enrique Herrera]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Trauma contuso de tórax con neumomediastino y neumoperitoneo secundario a efecto Macklin Reporte de un caso]]></article-title>
<source><![CDATA[Cirugía y Cirujanos]]></source>
<year>2016</year>
<volume>84</volume>
<numero>5</numero>
<issue>5</issue>
<page-range>409-14</page-range></nlm-citation>
</ref>
<ref id="B6">
<label>6</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Grapatsas]]></surname>
<given-names><![CDATA[K]]></given-names>
</name>
<name>
<surname><![CDATA[Tsilogianni]]></surname>
<given-names><![CDATA[Z]]></given-names>
</name>
<name>
<surname><![CDATA[Leivaditis]]></surname>
<given-names><![CDATA[V]]></given-names>
</name>
<name>
<surname><![CDATA[Kotoulas]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Kotoulas]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Koletsis]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Hamman's syndrome (spontaneous pneumomediastinum presenting as subcutaneous emphysema) A rare case of the emergency department and review of the literature]]></article-title>
<source><![CDATA[Respir Med Case Rep]]></source>
<year>2017</year>
<volume>23</volume>
<page-range>63-5</page-range></nlm-citation>
</ref>
<ref id="B7">
<label>7</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Cobo Ruiz]]></surname>
<given-names><![CDATA[T]]></given-names>
</name>
<name>
<surname><![CDATA[Castanedo Vázquez]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
<name>
<surname><![CDATA[Herrán de la Gala]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
<name>
<surname><![CDATA[Galante Mulki]]></surname>
<given-names><![CDATA[MJ]]></given-names>
</name>
<name>
<surname><![CDATA[Julián Gómez]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<name>
<surname><![CDATA[Barrios López]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
</person-group>
<source><![CDATA[Neumomediastino espontáneo o síndrome de Hamman: una entidad benigna aunque de difícil diagnóstico]]></source>
<year>2022</year>
<publisher-loc><![CDATA[Madrid ]]></publisher-loc>
<publisher-name><![CDATA[Seram]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B8">
<label>8</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Álvarez Domínguez]]></surname>
<given-names><![CDATA[EK]]></given-names>
</name>
<name>
<surname><![CDATA[Ornelas Moreno]]></surname>
<given-names><![CDATA[JP]]></given-names>
</name>
<name>
<surname><![CDATA[Valdez Moya]]></surname>
<given-names><![CDATA[LS]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Neumomediastino espontáneo en un paciente con COVID-19 Reporte de caso]]></article-title>
<source><![CDATA[Rev Fac Med UNAM]]></source>
<year>2022</year>
<volume>65</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>21-5</page-range></nlm-citation>
</ref>
<ref id="B9">
<label>9</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[López Zúñiga]]></surname>
<given-names><![CDATA[MA]]></given-names>
</name>
<name>
<surname><![CDATA[López Zúñiga]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
<name>
<surname><![CDATA[Martínez Colmenero]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Rodríguez Sánchez]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Gutiérrez Lara]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
<name>
<surname><![CDATA[López Ruz]]></surname>
<given-names><![CDATA[MA]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Neumomediastino espontáneo en pacientes con COVID-19]]></article-title>
<source><![CDATA[Emergencias (Sant Vicenç dels Horts)]]></source>
<year>2020</year>
<volume>32</volume>
<numero>4</numero>
<issue>4</issue>
<page-range>298-9</page-range></nlm-citation>
</ref>
<ref id="B10">
<label>10</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Varela Patiñoa]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Torres Blanco]]></surname>
<given-names><![CDATA[B]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Neumomediastino y enfisema subcutáneo en relación con la pandemia por SARS-CoV-2]]></article-title>
<source><![CDATA[Med Gen Fam]]></source>
<year>2020</year>
<volume>9</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>162-4</page-range></nlm-citation>
</ref>
</ref-list>
</back>
</article>
