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- Salvatore Palmese, Domenico Carbone, Raffaele Muoio, Daniele Scarano, Italia Odierna, Andrea C Scibilia, and Alfonso Natale.
- UOC Anestesia e Rianimazione, Ospedale Umberto I, Nocera Inferiore (Salerno). salvatore.palmese@libero.it
- Recenti Prog Med. 2008 Sep 1;99(9):458-60.
AbstractThis 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.
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