[Pneumomediastinum and subcutaneous emphysema complicating active labour].

Autor: Rugaard MB; Gynækologisk og Obstetrisk Afdeling, Roskilde Sygehus, 4000 Roskilde, Denmark. mariebender@yahoo.dk, Petersen KB
Jazyk: dánština
Zdroj: Ugeskrift for laeger [Ugeskr Laeger] 2011 Oct 10; Vol. 173 (41), pp. 2575-6.
Abstrakt: Subcutaneous emphysema and pneumomediastinum were first described by Hamman in 1945. Spontaneous pneumomediastinum is an uncommon, self-limiting condition caused by alveolar rupture and usually results from bronchial hyper-reactivity or barotraumas. We report a case describing a 25 year old patient in her first pregnancy, who during active labour developed subcutaneous emphysema and pneumomediastinum. Pneumomediastinum in labour is a rare complication to Valsalva maneuver, and it is diagnosed with a computed tomography. The most common symptoms are chest pain, dyspnea, neck pain and odynophagia.
Databáze: MEDLINE