[The Macklin effect in the etiology for pneumediastinum in chest trauma].
This case report has the scope to review the etiology and pathophysiology of pneumomediastinum in severe blunt trauma, with a special interest to its more frequent origin: the Macklin effect. The Macklin effect is a pathophysiologic process characterized by the blunt traumatic alveolar ruptures, air dissection along bronchovascular sheaths, with the formation of blunt pulmonary interstitial emphysema, radiologic marker, until the formation of a pneumomediastinum. Its premature diagnostic acknowledgment is important in the managing of the blunt chest trauma.
Palmese
Salvatore
S
UOC Anestesia e Rianimazione, Ospedale Umberto I, Nocera Inferiore (Salerno). salvatore.palmese@libero.it
Carbone
Domenico
D
Muoio
Raffaele
R
Scarano
Daniele
D
Odierna
Italia
I
Scibilia
Andrea C
AC
Natale
Alfonso
A
D006801:Humans; D008297:Male; D008478:Mediastinal Emphysema / Q000000981:diagnostic imaging / Q000209:etiology*; D013898:Thoracic Injuries / Q000150:complications*; D014057:Tomography, X-Ray Computed; D055815:Young Adult