<?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>1137-6627</journal-id>
<journal-title><![CDATA[Anales del Sistema Sanitario de Navarra]]></journal-title>
<abbrev-journal-title><![CDATA[Anales Sis San Navarra]]></abbrev-journal-title>
<issn>1137-6627</issn>
<publisher>
<publisher-name><![CDATA[Gobierno de Navarra. Departamento de Salud]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1137-66272024000300012</article-id>
<article-id pub-id-type="doi">10.23938/assn.1096</article-id>
<title-group>
<article-title xml:lang="en"><![CDATA[Hamman syndrome in an 18-year-old male patient]]></article-title>
<article-title xml:lang="es"><![CDATA[Síndrome de Hamman en un joven de 18 años]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Campos-Modesto]]></surname>
<given-names><![CDATA[Laura]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Magalhães-Negreiros-de Almeida]]></surname>
<given-names><![CDATA[Pedro Rodrigo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[dos Santos]]></surname>
<given-names><![CDATA[Vitorino Modesto]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Bertulucci-Angotti]]></surname>
<given-names><![CDATA[Fernanda Silva]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Sousa-Santana]]></surname>
<given-names><![CDATA[Lílian]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Costa-Hentges]]></surname>
<given-names><![CDATA[Nathália Gadelha]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,University Center of Brasilia  ]]></institution>
<addr-line><![CDATA[Brasília DF]]></addr-line>
<country>Brazil</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Armed Forces Hospital Department of Medicine ]]></institution>
<addr-line><![CDATA[Brasília DF]]></addr-line>
<country>Brazil</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Institute President Antonio Carlos  ]]></institution>
<addr-line><![CDATA[Araguari MG]]></addr-line>
<country>Brazil</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2024</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2024</year>
</pub-date>
<volume>47</volume>
<numero>3</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_arttext&amp;pid=S1137-66272024000300012&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_abstract&amp;pid=S1137-66272024000300012&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_pdf&amp;pid=S1137-66272024000300012&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT In 1939, Hamman's syndrome, also know as spontaneous pneumomediastinum, was characterized by the presence of pneumothorax, subcutaneous emphysema, and pneumorrhachis. It is believed to arise from barotrauma during vaginal labor, causing alveolar membrane rupture and subsequent air leakage. Clinical manifestations are often nonspecific. Management strategies vary based on symptom severity and complications, high-concentrations oxygen therapy promoting air absorption. We present the case of an 18-year-old male patient with a history of bronchial asthma and tobacco use, underscoring the need for heightened awareness of Hamman's syndrome in similar cases. Prompt diagnosis and appropriate management are crucial to prevent or quickly address potential life-threatening complications. Diagnosing this syndrome in male patients can be particularly challenging, as it was initially associated with complications from vaginal labor, potentially leading to poorer outcomes.]]></p></abstract>
<abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN El síndrome de Hamman se describió en 1939 como la aparición de neumomediastino espontáneo, neumotórax, enfisema subcutáneo y neumorraquis en relación a barotrauma durante el parto vaginal, con ruptura de membranas alveolares y escape de aire. Su sintomatología clínica es inespecífica. Las opciones de manejo dependen de los síntomas y complicaciones que presente el paciente, incluyendo procedimientos invasivos como descompresión y administración de oxígeno a altas concentraciones para favorecer la absorción de aire. Para aumentar el índice de sospecha del síndrome de Hamman, presentamos el caso de un paciente masculino de 18 años con antecedentes de asma bronquial y tabaquismo. Este síndrome infrecuente debe diagnosticarse a tiempo para prevenir y controlar de manera temprana la aparición de complicaciones potencialmente mortales. Debido a su asociación con complicaciones durante el parto vaginal, la sospecha diagnóstica de este síndrome en varones es menor, lo que se asocia a peor evolución.]]></p></abstract>
<kwd-group>
<kwd lng="en"><![CDATA[Diagnosis]]></kwd>
<kwd lng="en"><![CDATA[Hamman's syndrome]]></kwd>
<kwd lng="en"><![CDATA[Pneumorrhachis]]></kwd>
<kwd lng="en"><![CDATA[Pneumothorax]]></kwd>
<kwd lng="es"><![CDATA[Diagnóstico]]></kwd>
<kwd lng="es"><![CDATA[Síndrome de Hamman]]></kwd>
<kwd lng="es"><![CDATA[Neumorraquis]]></kwd>
<kwd lng="es"><![CDATA[Neumotórax]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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