<?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>0120-8705</journal-id>
<journal-title><![CDATA[CES Medicina]]></journal-title>
<abbrev-journal-title><![CDATA[CES Med.]]></abbrev-journal-title>
<issn>0120-8705</issn>
<publisher>
<publisher-name><![CDATA[Universidad CES]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0120-87052021000100060</article-id>
<article-id pub-id-type="doi">10.21615/cesmedicina.35.1.7</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Síndrome de Hamman: una causa rara de dolor torácico en niños]]></article-title>
<article-title xml:lang="en"><![CDATA[Hamman&#8217;s syndrome: a rare cause of thoracic pain in children]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Pérez-Muñoz]]></surname>
<given-names><![CDATA[Andrés Felipe]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Salas-Mesías]]></surname>
<given-names><![CDATA[Andrea]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Pérez-Muñoz]]></surname>
<given-names><![CDATA[William Fernando]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad del Cauca  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad del Cauca  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Hospital Francisco de Paula Santander  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>04</month>
<year>2021</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>04</month>
<year>2021</year>
</pub-date>
<volume>35</volume>
<numero>1</numero>
<fpage>60</fpage>
<lpage>67</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_arttext&amp;pid=S0120-87052021000100060&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_abstract&amp;pid=S0120-87052021000100060&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_pdf&amp;pid=S0120-87052021000100060&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Introducción:  el dolor torácico es una causa frecuente de consulta al servicio de urgencias pediátricas. Una causa poco conocida es el neumomediastino, el cual puede clasificarse en secundario, cuando hay un desencadenante y en espontáneo, cuando no hay causa evidente. También es llamado síndrome de Hamman, el cual tiene una incidencia que oscila entre uno en 30 000 a 44 000 consultas a urgencias y se presenta predominantemente en hombres. Presentamos el caso de una niña de 12 años, previamente sana, quien consultó por un cuadro de 12 horas de evolución de dolor torácico de características pleuríticas, de inicio súbito, asociado a disnea y diaforesis, sin historia de trauma, síntomas respiratorios, gastrointestinales u otra sintomatología previa. Y a quien posteriormente se le hizo diagnóstico de neumomediastino espontáneo.  Discusión:  esta enfermedad es muy poco frecuente en niños. La mayoría de los casos se autolimitan rápidamente con manejo sintomático y muy pocos pueden complicarse con taponamiento cardiaco. La radiografía de tórax es el método diagnóstico más preciso.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Introduction:  chest pain is a frequent cause of consultation to the pediatric emergency department. A little-known cause is pneumomediastinum, which can be classified as secondary, when there is a trigger and spontaneous, when there is no evident cause. It is also called Hamman&#8217;s syndrome, which has an incidence ranging from one in 30 000 to 44 000 emergency department visits and occurs predominantly in males. We present the case of a 12-year-old girl, previously healthy, who consulted for 12 hours of chest pain with pleuritic characteristics of sudden onset, associated with dyspnea and diaphoresis, with no history of trauma, respiratory or gastrointestinal symptoms or other previous symptomatology. The patient was subsequently diagnosed with spontaneous pneumomediastinum.  Discussion:  this disease is very rare in children. Most cases are rapidly self-limited with symptomatic management and very few can be complicated with cardiac tamponade. Chest radiography is the most accurate diagnostic method.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Enfisema mediastínico]]></kwd>
<kwd lng="es"><![CDATA[Dolor en el pecho]]></kwd>
<kwd lng="es"><![CDATA[Niños]]></kwd>
<kwd lng="es"><![CDATA[Enfisema subcutáneo]]></kwd>
<kwd lng="es"><![CDATA[Diagnóstico]]></kwd>
<kwd lng="es"><![CDATA[Síndrome de Hamman.]]></kwd>
<kwd lng="en"><![CDATA[Mediastinal emphysema]]></kwd>
<kwd lng="en"><![CDATA[Chest pain]]></kwd>
<kwd lng="en"><![CDATA[Child]]></kwd>
<kwd lng="en"><![CDATA[Subcutaneous emphysema]]></kwd>
<kwd lng="en"><![CDATA[Diagnosis]]></kwd>
<kwd lng="en"><![CDATA[Hamman Syndrome.]]></kwd>
</kwd-group>
</article-meta>
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