ABSTRACT
RESUMEN Presentamos un caso de un neumomediastino espontáneo, efecto Macklin, en un hombre de 49 años con comorbilidades y diagnóstico de COVID-19. El paciente recibió soporte vital total pero evolucionó de manera desfavorable y con inestabilidad hemodinámica, la cual progresa a un choque obstructivo por el neumomediastino. Aunque es un cuadro inusual, es importante conocer la clínica, el diagnóstico y el manejo de esta entidad en las unidades de cuidados intensivos.
ABSTRACT This is the case of a 49-year-old male with spontaneous pneumomediastinum due to Macklin effect, who presented comorbidities and was diagnosed with COVID-19. The patient was placed on life support but showed an unfavorable progression with hemodynamic instability, which led to obstructive shock caused by pneumomediastinum. Despite being an unusual clinical entity, it is important to know its approach, diagnosis and management in the intensive care units.