title: [Pneumomediastinum and extensive subcutaneous emphysema after normal labor].
abstract: Spontaneous pneumomediastinum associated with subcutaneous emphysema is a rare, though life-threatening, complication of late pregnancy and labor. We report the case of a primipara who, after undergoing normal labor and delivery of a normal-weight baby, developed pneumomediastinum and extensive subcutaneous emphysema with significant symptoms within minutes of delivery. This peripartum complication is usually self-limiting when the aggravating factors are no louguer present. Management includes strict monitoring of the patient and conservative treatment of symptoms.
authors.affiliation: Servicio de Anestesiología, Reanimación y Terapia del Dolor, Hospital General Universitario Gregorio Marañón, Madrid. bertocabo@mixmail.com
authors.forename: J A
authors.initials: JA
authors.lastname: Varela
authors.forename: L
authors.initials: L
authors.lastname: Penide
authors.forename: A
authors.initials: A
authors.lastname: Abad
authors.forename: J
authors.initials: J
authors.lastname: Benito
authors.forename: J
authors.initials: J
authors.lastname: Navia
mesh_terms: D000328:Adult; D002637:Chest Pain / Q000188:drug therapy / Q000209:etiology; D004417:Dyspnea / Q000209:etiology / Q000628:therapy; D005260:Female; D006801:Humans; D006993:Hypnotics and Sedatives / Q000627:therapeutic use; D008478:Mediastinal Emphysema / Q000209:etiology* / Q000628:therapy; D008874:Midazolam / Q000627:therapeutic use; D009020:Morphine / Q000627:therapeutic use; D010102:Oxygen Inhalation Therapy; D011247:Pregnancy; D011644:Puerperal Disorders / Q000209:etiology* / Q000628:therapy; D011650:Pulmonary Alveoli / Q000293:injuries*; D011693:Purpura / Q000209:etiology; D012422:Rupture, Spontaneous; D013352:Subcutaneous Emphysema / Q000209:etiology*; D014636:Valsalva Maneuver
chemical_list: D006993:Hypnotics and Sedatives; D009020:Morphine; D008874:Midazolam