Document Detail

Recurrent pneumothorax in pregnancy: what should we do after placing an intercostal drain.
MedLine Citation:
PMID:  17028358     Owner:  NLM     Status:  MEDLINE    
Recurrent pneumothorax is rare during pregnancy. We describe a Chinese woman, with a history of spontaneous pneumothorax managed with an intercostal drain, who developed a recurrent pneumothorax during her 32nd week of pregnancy. There is no consensus on management in this situation. We review the literature and discuss different management approaches. Thirty-six cases of antepartum pneumothorax have been reported in 31 case reports. An intercostal drain only (n=11) or surgeries (thoracotomy, n=9; or video-assisted thoracoscopy, n=2) were common treatment options with no surgical complications reported. Twenty-two (61%) patients progressed to a normal vaginal delivery, while the rest required forceps delivery (22%) or Caesarean section (14%). No single treatment option outweighed the others. There were no maternal or foetal complications reported in those who underwent antepartum surgical intervention. Surgical management of recurrent pneumothorax during pregnancy is well tolerated.
M K Wong; W C Leung; J K Wang; T T Lao; M S Ip; W K Lam; J C Ho
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Publication Detail:
Type:  Case Reports; Journal Article; Review    
Journal Detail:
Title:  Hong Kong medical journal = Xianggang yi xue za zhi / Hong Kong Academy of Medicine     Volume:  12     ISSN:  1024-2708     ISO Abbreviation:  Hong Kong Med J     Publication Date:  2006 Oct 
Date Detail:
Created Date:  2006-10-09     Completed Date:  2007-01-11     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9512509     Medline TA:  Hong Kong Med J     Country:  China    
Other Details:
Languages:  eng     Pagination:  375-80     Citation Subset:  IM    
Department of Medicine, University of Hong Kong, Queen Mary Hospital, Pokfulam Road, Hong Kong.
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MeSH Terms
Cesarean Section
Obstetrical Forceps
Pneumothorax / therapy*
Postoperative Complications
Pregnancy Complications / surgery,  therapy*
Thoracic Surgery, Video-Assisted

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