Document Detail

Hamman's syndrome (spontaneous pneumomediastinum) in a parturient: a case report.
MedLine Citation:
PMID:  16643714     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: Subcutaneous emphysema and pneumomediastinum in labour and delivery is a rare but potentially serious occurrence that must be identified and managed appropriately to avoid unnecessary investigations and interventions. Published reports indicate that subsequent pregnancies pose no additional risk for recurrence. CASE: A 27-year-old primiparous patient with an uneventful pregnancy and delivery developed subcutaneous emphysema but remained stable clinically. Chest radiography confirmed a pneumomediastinum. She was managed conservatively with supportive measures and anxiolytics and showed complete resolution after five days. A future pregnancy is planned. CONCLUSION: Recognition of spontaneous pneumomediastinum and its potential consequences during labour and delivery requires vigilance. Supportive measures alone may be the only requirement for resolution. Recurrence of the condition is rare, but the appropriate management of subsequent pregnancies is unclear. Expectant management with epidural analgesia to minimize active pushing is suggested in a subsequent spontaneous vaginal delivery.
Miguel Marc Bonin
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of obstetrics and gynaecology Canada : JOGC = Journal d'obstétrique et gynécologie du Canada : JOGC     Volume:  28     ISSN:  1701-2163     ISO Abbreviation:  J Obstet Gynaecol Can     Publication Date:  2006 Feb 
Date Detail:
Created Date:  2006-04-28     Completed Date:  2006-07-13     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101126664     Medline TA:  J Obstet Gynaecol Can     Country:  Canada    
Other Details:
Languages:  eng     Pagination:  128-31     Citation Subset:  IM    
Department of Family Medicine, Northeastern Ontario Family Medicine Program, Faculty of Medicine, University of Ottawa, Ottawa ON.
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MeSH Terms
Mediastinal Emphysema / complications*,  radiography
Obstetric Labor Complications* / radiography
Pregnancy Outcome
Subcutaneous Emphysema / complications*,  radiography

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