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Hamman's sign

Hamman's sign is a medical sign consisting of a crunching, rasping sound, synchronous with the heartbeat, heard over the precordium in spontaneous mediastinal emphysema. It is thought to result from the heart beating against air-filled tissues.

Causes
Hamman's crunch is caused by pneumomediastinum or pneumopericardium, and is associated with tracheobronchial injury due to trauma, medical procedures (e.g., bronchoscopy) or rupture of a proximal pulmonary bleb. It can be seen with Boerhaave syndrome. ==See also==
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