%0 Journal Article
%T Efecto Macklin en el neumomediastino espont¨¢neo pedi¨¢trico
%A Bilkis
%A Manuel D
%A Monteverde
%A Ezequiel
%J Archivos argentinos de pediatr£¿-a
%D 2010
%I Sociedad Argentina de Pediatria
%X pneumomediastinum is defined as the presence of air in the mediastinum, and may be secondary to trauma or spontaneous. we present the case of a four-year old patient with a spontaneous pneumomediastinum secondary to a violent cough episode, presumably due to a simple cold. the presence of cervical pain, swelling and crepitus warned the pediatrician, who ordered the patient admission. diagnosis was confirmed by chest and neck plane x-rays. the disorder had a short duration and favorable outcome with no specific treatment aside from symptomatic. ct scan performed at admission revealed an air migration through the perivasculobronchial sheath towards the mediastinum, the so-called "macklin effect". this is the first description of this entity in pediatrics.
%K ct
%K diagnostic imaging
%K mediastinal emphysema
%K pulmonary interstitial emphysema
%K pneumomediastinum.
%U http://www.scielo.org.ar/scielo.php?script=sci_abstract&pid=S0325-00752010000200014&lng=en&nrm=iso&tlng=en