{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T14:36:24Z","timestamp":1753886184925,"version":"3.41.2"},"reference-count":10,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2024,10,24]],"date-time":"2024-10-24T00:00:00Z","timestamp":1729728000000},"content-version":"vor","delay-in-days":297,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Case Reports in Pediatrics"],"published-print":{"date-parts":[[2024,1]]},"abstract":"<jats:p>Hamman\u2019s syndrome, a rare complication of diabetic ketoacidosis (DKA), is characterized by subcutaneous emphysema and spontaneous pneumomediastinum. This case report discusses the occurrence of Hamman\u2019s syndrome in an 11\u2010year\u2010old adolescent male newly diagnosed with type 1 diabetes mellitus (T1DM) and presenting with severe DKA. The patient exhibited symptoms typical of DKA, including polydipsia, polyuria, abdominal pain, and fatigue, alongside signs such as dehydration, Kussmaul breathing, and tachycardia. Following initial management with intravenous fluids and insulin infusion, he was transferred to a tertiary children\u2019s hospital for further care. Subsequently, on routine examination, he exhibited bilateral neck crepitus and a mediastinal crunching sound on auscultation, indicative of Hamman\u2019s syndrome. Conservative management led to symptom resolution, and the patient was discharged with follow\u2010up arranged. This case highlights the importance of recognizing Hamman\u2019s syndrome as a potential complication of DKA in pediatric patients. Prompt diagnosis and management, along with differentiation from more severe conditions like Boerhaave\u2019s syndrome, are crucial for ensuring favorable outcomes. Further awareness and understanding of this rare syndrome are essential for optimal patient care and management.<\/jats:p>","DOI":"10.1155\/2024\/1168472","type":"journal-article","created":{"date-parts":[[2024,10,24]],"date-time":"2024-10-24T10:50:11Z","timestamp":1729767011000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["An Uncommon Presentation of Hamman\u2019s Syndrome in an Adolescent With Acute Diabetic Ketoacidosis and Newly Diagnosed Type 1 Diabetes"],"prefix":"10.1155","volume":"2024","author":[{"ORCID":"https:\/\/orcid.org\/0009-0008-4728-7105","authenticated-orcid":false,"given":"Daliya","family":"George","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Malini","family":"Rajandran","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5114-9380","authenticated-orcid":false,"given":"Habib","family":"Bhurawala","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5763-095X","authenticated-orcid":false,"given":"Gary M.","family":"Leong","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2024,10,24]]},"reference":[{"doi-asserted-by":"publisher","key":"e_1_2_10_1_2","DOI":"10.1530\/EDM-17-0135"},{"doi-asserted-by":"publisher","key":"e_1_2_10_2_2","DOI":"10.1016\/j.rmcr.2017.12.004"},{"doi-asserted-by":"publisher","key":"e_1_2_10_3_2","DOI":"10.1136\/pgmj.75.890.753"},{"key":"e_1_2_10_4_2","first-page":"368","article-title":"Mediastinal Emphysema Complicating Diabetic Ketoacidosis: Plea for Conservative Diagnostic Approach","volume":"65","author":"Pauw R.","year":"2007","journal-title":"The Netherlands Journal of Medicine"},{"doi-asserted-by":"publisher","key":"e_1_2_10_5_2","DOI":"10.1007\/s00592-016-0871-z"},{"unstructured":"TurnerA. R.andTurnerS. D. Boerhaave Syndrome 2017.","key":"e_1_2_10_6_2"},{"doi-asserted-by":"publisher","key":"e_1_2_10_7_2","DOI":"10.1016\/s2173-5115(08)70274-4"},{"doi-asserted-by":"publisher","key":"e_1_2_10_8_2","DOI":"10.1097\/01.rct.0000187416.07698.8d"},{"doi-asserted-by":"publisher","key":"e_1_2_10_9_2","DOI":"10.1148\/radiographics.21.1.g01ja06105"},{"doi-asserted-by":"publisher","key":"e_1_2_10_10_2","DOI":"10.1016\/j.athoracsur.2011.03.131"}],"container-title":["Case Reports in Pediatrics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1155\/2024\/1168472","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,10,24]],"date-time":"2024-10-24T10:50:14Z","timestamp":1729767014000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1155\/2024\/1168472"}},"subtitle":[],"editor":[{"given":"Junji","family":"Takaya","sequence":"additional","affiliation":[],"role":[{"role":"editor","vocabulary":"crossref"}]}],"short-title":[],"issued":{"date-parts":[[2024,1]]},"references-count":10,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2024,1]]}},"alternative-id":["10.1155\/2024\/1168472"],"URL":"https:\/\/doi.org\/10.1155\/2024\/1168472","archive":["Portico"],"relation":{},"ISSN":["2090-6803","2090-6811"],"issn-type":[{"type":"print","value":"2090-6803"},{"type":"electronic","value":"2090-6811"}],"subject":[],"published":{"date-parts":[[2024,1]]},"assertion":[{"value":"2024-06-05","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-09-09","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-10-24","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"1168472"}}