Pneumomediastinum during the fourth stage of labor.
Postpartum spontaneous pneumomediastinum (Hamman's syndrome) is a very rare event with an estimated incidence of 1 in 100,000 deliveries. It occurs mainly in the second stage of labor and is potentially lethal. We report the case of a 29-year-old primiparous woman during the immediate puerperium (Leff's fourth stage of labor) presenting with acute chest pain, dyspnea and petechiae. She was admitted to the intensive care unit with a suspected diagnosis of amniotic fluid embolism. A chest radiograph revealed a pneumomediastinum that finally resolved with oxygen therapy and supportive management in 3 days.
Obstetrics and Gynecology Department, Santa Cristina University Hospital, Madrid, Spain. ignaciozapardiel@hotmail.com
Ignacio
I
Zapardiel
Jesus
J
Delafuente-Valero
Virginia
V
Diaz-Miguel
Veronica
V
Godoy-Tundidor
Jose Manuel
JM
Bajo-Arenas
D000328:Adult; D003937:Diagnosis, Differential; D004619:Embolism, Amniotic Fluid / Q000175:diagnosis / Q000473:pathology; D005260:Female; D006801:Humans; D007231:Infant, Newborn; D008297:Male; D008478:Mediastinal Emphysema / Q000175:diagnosis / Q000000981:diagnostic imaging / Q000209:etiology / Q000473:pathology* / Q000628:therapy; D007744:Obstetric Labor Complications / Q000175:diagnosis / Q000473:pathology* / Q000628:therapy; D010100:Oxygen / Q000627:therapeutic use*; D011247:Pregnancy; D011859:Radiography
D010100:Oxygen