Pneumomediastinum following esophageal rupture associated with hyperemesis gravidarum
| Autor: | Shan-Guang Liang, Akiko Santo, Manabu Kaibara, Fumiko Ooka |
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| Rok vydání: | 2002 |
| Předmět: |
Adult
medicine.medical_specialty Pregnancy Rupture Spontaneous business.industry Obstetrics and Gynecology medicine.disease Chest pain Esophageal Diseases Surgery Pregnancy Complications Hyperemesis gravidarum Hyperemesis Gravidarum Etiology medicine Vomiting Gestation Humans Female Pneumomediastinum medicine.symptom business Subcutaneous emphysema Mediastinal Emphysema |
| Zdroj: | The journal of obstetrics and gynaecology research. 28(3) |
| ISSN: | 1341-8076 |
| Popis: | 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. |
| Databáze: | OpenAIRE |
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