Hamman’s syndrome in a patient with uncontrolled type 1 diabetes mellitus: a case report
Abstract Background Hamman’s syndrome is a clinical entity characterized by the spontaneous leakage of air into the mediastinum. We report a patient with Hamman’s syndrome associated with diabetes ketoacidosis (DKA). Case presentation A 20-year-old foreign technical intern visited to a hospital beca...
Saved in:
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
SpringerOpen
2025-05-01
|
| Series: | JA Clinical Reports |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s40981-025-00792-x |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1850132785719672832 |
|---|---|
| author | Asahi Ishihara Katsuyuki Sagishima Tadashi Ejima Manami Kuwahara Naoyuki Hirata |
| author_facet | Asahi Ishihara Katsuyuki Sagishima Tadashi Ejima Manami Kuwahara Naoyuki Hirata |
| author_sort | Asahi Ishihara |
| collection | DOAJ |
| description | Abstract Background Hamman’s syndrome is a clinical entity characterized by the spontaneous leakage of air into the mediastinum. We report a patient with Hamman’s syndrome associated with diabetes ketoacidosis (DKA). Case presentation A 20-year-old foreign technical intern visited to a hospital because of nausea and shortness of breath. He had been diagnosed with diabetes in his home country and had initiated insulin therapy; however, since arriving in Japan, he had not accessed any medical services. Computed tomography revealed pneumomediastinum, while laboratory tests showed marked hyperglycemia, metabolic acidosis, and a significantly elevated blood ketone level (15,044 µmol/L). The patient was diagnosed with Hamman’s syndrome associated with DKA. Upper gastrointestinal endoscopy showed no evidence of gastrointestinal perforation. Conservative intensive care, including insulin therapy and fluid resuscitation, resulted in clinical improvement. Conclusion This case highlights the importance of recognizing Hamman’s syndrome in DKA and the need for culturally competent care in international residents. |
| format | Article |
| id | doaj-art-e0f9d54fc5874bc8a7e1fffddc07f656 |
| institution | OA Journals |
| issn | 2363-9024 |
| language | English |
| publishDate | 2025-05-01 |
| publisher | SpringerOpen |
| record_format | Article |
| series | JA Clinical Reports |
| spelling | doaj-art-e0f9d54fc5874bc8a7e1fffddc07f6562025-08-20T02:32:07ZengSpringerOpenJA Clinical Reports2363-90242025-05-011111510.1186/s40981-025-00792-xHamman’s syndrome in a patient with uncontrolled type 1 diabetes mellitus: a case reportAsahi Ishihara0Katsuyuki Sagishima1Tadashi Ejima2Manami Kuwahara3Naoyuki Hirata4Department of Critical Care Medicine, Kumamoto University HospitalDepartment of Critical Care Medicine, Kumamoto University HospitalDepartment of Critical Care Medicine, Kumamoto University HospitalDepartment of Critical Care Medicine, Kumamoto University HospitalDepartment of Critical Care Medicine, Kumamoto University HospitalAbstract Background Hamman’s syndrome is a clinical entity characterized by the spontaneous leakage of air into the mediastinum. We report a patient with Hamman’s syndrome associated with diabetes ketoacidosis (DKA). Case presentation A 20-year-old foreign technical intern visited to a hospital because of nausea and shortness of breath. He had been diagnosed with diabetes in his home country and had initiated insulin therapy; however, since arriving in Japan, he had not accessed any medical services. Computed tomography revealed pneumomediastinum, while laboratory tests showed marked hyperglycemia, metabolic acidosis, and a significantly elevated blood ketone level (15,044 µmol/L). The patient was diagnosed with Hamman’s syndrome associated with DKA. Upper gastrointestinal endoscopy showed no evidence of gastrointestinal perforation. Conservative intensive care, including insulin therapy and fluid resuscitation, resulted in clinical improvement. Conclusion This case highlights the importance of recognizing Hamman’s syndrome in DKA and the need for culturally competent care in international residents.https://doi.org/10.1186/s40981-025-00792-xHamman’s syndromeDiabetic ketoacidosisPneumomediastinum |
| spellingShingle | Asahi Ishihara Katsuyuki Sagishima Tadashi Ejima Manami Kuwahara Naoyuki Hirata Hamman’s syndrome in a patient with uncontrolled type 1 diabetes mellitus: a case report JA Clinical Reports Hamman’s syndrome Diabetic ketoacidosis Pneumomediastinum |
| title | Hamman’s syndrome in a patient with uncontrolled type 1 diabetes mellitus: a case report |
| title_full | Hamman’s syndrome in a patient with uncontrolled type 1 diabetes mellitus: a case report |
| title_fullStr | Hamman’s syndrome in a patient with uncontrolled type 1 diabetes mellitus: a case report |
| title_full_unstemmed | Hamman’s syndrome in a patient with uncontrolled type 1 diabetes mellitus: a case report |
| title_short | Hamman’s syndrome in a patient with uncontrolled type 1 diabetes mellitus: a case report |
| title_sort | hamman s syndrome in a patient with uncontrolled type 1 diabetes mellitus a case report |
| topic | Hamman’s syndrome Diabetic ketoacidosis Pneumomediastinum |
| url | https://doi.org/10.1186/s40981-025-00792-x |
| work_keys_str_mv | AT asahiishihara hammanssyndromeinapatientwithuncontrolledtype1diabetesmellitusacasereport AT katsuyukisagishima hammanssyndromeinapatientwithuncontrolledtype1diabetesmellitusacasereport AT tadashiejima hammanssyndromeinapatientwithuncontrolledtype1diabetesmellitusacasereport AT manamikuwahara hammanssyndromeinapatientwithuncontrolledtype1diabetesmellitusacasereport AT naoyukihirata hammanssyndromeinapatientwithuncontrolledtype1diabetesmellitusacasereport |