{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,13]],"date-time":"2025-05-13T09:07:06Z","timestamp":1747127226772},"reference-count":20,"publisher":"Georg Thieme Verlag KG","issue":"07","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Pneumologie"],"published-print":{"date-parts":[[2023,7]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title><jats:p>Das Pneumomediastinum, definiert als Luft im mediastinalen Interstitium, ist eine seltene Ursache des akuten Thoraxschmerzes. Die Erkrankung kann sowohl sekund\u00e4r als Folge von Traumata oder medizinischen Interventionen als auch spontan auftreten. Die spontan auftretende Variante (Hamman-Syndrom) hat i.d.R. auch ohne Intervention eine gute Prognose, zugrundeliegende Ursachen wie gastrointestinale Perforationen m\u00fcssen jedoch ausgeschlossen werden. Diagnostisch ist neben einer konventionellen R\u00f6ntgenaufnahme des Thorax eine Computertomografie oft hilfreich. H\u00e4ufig tritt begleitend ein Weichteilemphysem auf, epidurale Luft im Spinalkanal wird Pneumorrhachis genannt und stellt eine seltene, jedoch ebenfalls h\u00e4ufig benigne Komplikation dar. Wir berichten von einem jungen Mann mit Hamman-Syndrom und Pneumorrhachis im Rahmen einer Asthma-Exazerbation, welcher trotz ausgepr\u00e4gter Beschwerden rein konservativ behandelt werden konnte.<\/jats:p>","DOI":"10.1055\/a-2007-9778","type":"journal-article","created":{"date-parts":[[2023,2,8]],"date-time":"2023-02-08T00:08:48Z","timestamp":1675814928000},"page":"430-434","source":"Crossref","is-referenced-by-count":1,"title":["Spontanes Pneumomediastinum (Hamman-Syndrom) mit Pneumorrhachis als seltene Ursache f\u00fcr akuten Thoraxschmerz bei einem jungen Patienten mit akut exazerbiertem Asthma bronchiale"],"prefix":"10.1055","volume":"77","author":[{"given":"Jonas","family":"Fr\u00fch","sequence":"additional","affiliation":[{"name":"Pneumologie, Klinikum W\u00fcrzburg Mitte gGmbH Standort Missioklinik, W\u00fcrzburg, Deutschland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jasmin","family":"Abbas","sequence":"additional","affiliation":[{"name":"Radiology, Klinikum W\u00fcrzburg Mitte gGmbH Standort Juliusspital, W\u00fcrzburg, Deutschland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Danjouma","family":"Cheufou","sequence":"additional","affiliation":[{"name":"Thoraxchirurgie, Klinikum W\u00fcrzburg Mitte gGmbH Standort Missioklinik, W\u00fcrzburg, Deutschland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stefan","family":"Baron","sequence":"additional","affiliation":[{"name":"Pneumologie, Klinikum W\u00fcrzburg Mitte gGmbH Standort Missioklinik, W\u00fcrzburg, Deutschland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Matthias","family":"Held","sequence":"additional","affiliation":[{"name":"Pneumologie, Klinikum W\u00fcrzburg Mitte gGmbH Standort Missioklinik, W\u00fcrzburg, Deutschland"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2023,2,7]]},"reference":[{"key":"ref1","first-page":"1","article-title":"Spontaneous mediastinal emphysema","volume":"64","author":"L Hamman","year":"1939","journal-title":"Bull Johns Hopkins Hosp"},{"key":"ref2","doi-asserted-by":"publisher","first-page":"S44","DOI":"10.3978\/j.issn.2072-1439.2015.01.11","article-title":"Pneumomediastinum","volume":"7","author":"VK Kouritas","year":"2015","journal-title":"J Thorac Dis"},{"key":"ref3","doi-asserted-by":"publisher","first-page":"460","DOI":"10.4103\/1947-2714.117296","article-title":"Spontaneous pneumomediastinum: Time for consensus","volume":"5","author":"A Talwar","year":"2013","journal-title":"North Am J Med Sci"},{"key":"ref4","doi-asserted-by":"publisher","first-page":"370","DOI":"10.1097\/PEC.0000000000000625","article-title":"Pediatric Spontaneous Pneumomediastinum: Narrative Literature Review","volume":"33","author":"CR-B Gasser","year":"2017","journal-title":"Pediatric Emergency Care"},{"key":"ref5","doi-asserted-by":"publisher","first-page":"63","DOI":"10.1016\/j.surge.2009.10.007","article-title":"Spontaneous pneumomediastinum (Hamman\u2019s syndrome)","volume":"8","author":"S Kelly","year":"2010","journal-title":"The Surgeon"},{"key":"ref6","doi-asserted-by":"crossref","first-page":"573","DOI":"10.1016\/j.ejcts.2009.08.002","article-title":"Pneumomediastinum: is this really a benign entity? 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