Macklin effect

Changed by Henry Knipe, 31 Aug 2015

Updates to Article Attributes

Title was changed:
The Macklin effect -: pulmonary interstitial emphysema and pneumomediastinum
Body was changed:

The Macklin effect describes one of the pathophysiological process of pneumomediastinum in blunt chest trauma. The Macklin effect accounts for ~40% of severe blunt traumatic pneumomediastinum. Exclusion of tracheobronchial and oesophageal causes of pneumomediastinum is mandatory to exclude concomitant injury 1.

Pathology

The proposed mechanism is alveolar rupture with air dissecting along bronchovascular sheaths and into the mediastinum1.

The Macklin effect account for ~40% of severe blunt traumatic pneumomediastinum. Exclusion of tracheobronchial and oesophageal cause of pneumomediastinum is mandatory to exclude concomitant injury 1.

Radiographic features

CT

Pulmonary interstitial emphysema with air tracking along the bronchovascular sheaths towards the hilum and associated pneumomediastinum. 

History and etymology

The pathophysiologic process was first proposed by C C Macklin in 1939 2.

  • -<p>The<strong> Macklin effect</strong> describes one of the pathophysiological process of <a href="/articles/pneumomediastinum">pneumomediastinum</a> in blunt chest trauma. The proposed mechanism is alveolar rupture with air dissecting along bronchovascular sheaths and into the mediastinum <sup>1</sup>.</p><p>The Macklin effect account for ~40% of severe blunt traumatic pneumomediastinum. Exclusion of tracheobronchial and oesophageal cause of pneumomediastinum is mandatory to exclude concomitant injury <sup>1</sup>.</p><h4>Radiographic features</h4><h5>CT</h5><p>Pulmonary interstitial emphysema with air tracking along the bronchovascular sheaths towards the hilum and associated pneumomediastinum. </p><h4>History and etymology</h4><p>The pathophysiologic process was first proposed by <strong>C C Macklin</strong> in 1939 <sup>2</sup>.</p>
  • +<p>The<strong> Macklin effect</strong> describes one of the pathophysiological process of <a href="/articles/pneumomediastinum">pneumomediastinum</a> in blunt chest trauma. The Macklin effect accounts for ~40% of severe blunt traumatic pneumomediastinum. Exclusion of tracheobronchial and oesophageal causes of pneumomediastinum is mandatory to exclude concomitant injury <sup>1</sup>.</p><h4>Pathology</h4><p>The proposed mechanism is alveolar rupture with air dissecting along bronchovascular sheaths and into the mediastinum <sup>1</sup>.</p><h4>Radiographic features</h4><h5>CT</h5><p>Pulmonary interstitial emphysema with air tracking along the bronchovascular sheaths towards the hilum and associated pneumomediastinum. </p><h4>History and etymology</h4><p>The pathophysiologic process was first proposed by <strong>C C Macklin</strong> in 1939 <sup>2</sup>.</p>

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