| Pneumomediastinum following esophageal rupture associated with hyperemesis gravidarum. | |
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MedLine Citation:
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PMID: 12214835 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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A patient was diagnosed with pneumomediastinum caused by an esophageal rupture during hyperemesis gravidarum. The woman, at 15 weeks' gestation, presented with hyperemesis gravidarum complicated by an episode of chest pain and disturbance of consciousness. Radiological examination revealed pneumomediastinum and subcutaneous emphysema. They are normally caused by either pulmonary or esophageal rupture. The esophageal etiology was suspected as more likely because of the severe vomiting accompanied with it. Although the clinical feature was quite complicated and esophageal rupture is generally a life-threatening disease, we chose conservative therapy which resulted in rapid recovery. The final diagnosis was confirmed by endoscopic examination performed after recovery. Pneumomediastinum during pregnancy is rare but it could be lethal. Careful and considerate assessments including surgical treatment should be necessary. |
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Authors:
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Shan-Guang Liang; Fumiko Ooka; Akiko Santo; Manabu Kaibara |
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Publication Detail:
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Type: Case Reports; Journal Article; Review |
Journal Detail:
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Title: The journal of obstetrics and gynaecology research Volume: 28 ISSN: 1341-8076 ISO Abbreviation: J. Obstet. Gynaecol. Res. Publication Date: 2002 Jun |
Date Detail:
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Created Date: 2002-09-06 Completed Date: 2002-09-26 Revised Date: 2005-11-16 |
Medline Journal Info:
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Nlm Unique ID: 9612761 Medline TA: J Obstet Gynaecol Res Country: Japan |
Other Details:
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Languages: eng Pagination: 172-5 Citation Subset: IM |
Affiliation:
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Department of Obstetrics and Gynecology, Teikyo University School of Medicine, Ichihara Hospital, Chiba, Japan. ryo@med.teikyo-u.ac.jp |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Esophageal Diseases / complications, etiology* Female Humans Hyperemesis Gravidarum / complications* Mediastinal Emphysema / etiology* Pregnancy Pregnancy Complications / etiology* Rupture, Spontaneous |
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