Pneumomediastinum and pneumothorax associated with labour.
A 19-year-old primiparous woman in labour presented with spontaneous pneumomediastinum, pneumothorax and surgical emphysema. The membranes were intact and the fetus had a breech presentation. There was little improvement in her symptoms and labour progressed slowly. A caesarean section was performed under intrathecal block resulting in the birth of a healthy infant. The patient's symptoms resolved with supportive management. This condition is very rare and is generally self-limiting. Management aims to avoid worsening of pneumothorax and pneumomediastinum. Recurrence is unlikely.
Departments of Anaesthesia, Ibn Rochd University Hospital, Casablanca, Morocco. mohamiguil@yahoo.fr
M
M
Miguil
A
A
Chekairi
D000328:Adult; D000775:Anesthesia, Spinal; D001946:Breech Presentation; D002585:Cesarean Section; D005260:Female; D006801:Humans; D007231:Infant, Newborn; D008297:Male; D008478:Mediastinal Emphysema / Q000150:complications* / Q000000981:diagnostic imaging / Q000628:therapy*; D007744:Obstetric Labor Complications / Q000000981:diagnostic imaging / Q000628:therapy*; D010102:Oxygen Inhalation Therapy; D011030:Pneumothorax / Q000150:complications* / Q000000981:diagnostic imaging / Q000628:therapy*; D011247:Pregnancy; D011859:Radiography