title: Spontaneous pneumomediastinum: a rare presentation of diabetic ketoacidosis in a pregnant woman.
abstract: Pneumomediastinum (PM) or mediastinal emphysema is defined as the presence of free air around mediastinal structures. Spontaneous (or atraumatic) pneumomediastinum (SPM) is a rare complication during pregnancy. Primary or spontaneous PM can arise due to increased intra-alveolar pressure. Secondary PM is due to direct trauma, intrathoracic infections or violation of the aerodigestive track. This case report describes a pregnant woman newly diagnosed with diabetes presenting with an SPM due to vigorously vomiting and Kussmaul's breathing caused by diabetic ketoacidosis. Appropriate management of SPM and its underlying cause is required to reduce the risks for both mother and child.
authors: Department of Obstetrics and Gynecology, Division of Obstetrics and Prenatal Medicine, Erasmus Medical Center , Rotterdam.
authors: Leonie
authors: L
authors: Speksnijder
authors: Department of Obstetrics and Gynecology, Division of Obstetrics and Prenatal Medicine, Erasmus Medical Center , Rotterdam.
authors: Johannes J
authors: JJ
authors: Duvekot
authors: Department of Endocrinology.
authors: Erik J J
authors: EJ
authors: Duschek
authors: Department of Endocrinology.
authors: Max C W
authors: MC
authors: Jebbink
authors: Department of Obstetrics and Gynecology , Reinier de Graaf Gasthuis, Delft, Zuid-Holland , The Netherlands.
authors: Henk A
authors: HA
authors: Bremer
keywords: diabetes; maternal–fetal medicine; thoracic medicine