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Ugeskrift for laeger · Oct 2011
Case Reports[Pneumomediastinum and subcutaneous emphysema complicating active labour].
- Marie Bender Rugaard and Kathrine Birch Petersen.
- Gynækologisk og Obstetrisk Afdeling, Roskilde Sygehus, 4000 Roskilde, Denmark. mariebender@yahoo.dk
- Ugeskr. Laeg. 2011 Oct 10;173(41):2575-6.
AbstractSubcutaneous emphysema and pneumomediastinum were first described by Hamman in 1945. Spontaneous pneumomediastinum is an uncommon, self-limiting condition caused by alveolar rupture and usually results from bronchial hyper-reactivity or barotraumas. We report a case describing a 25 year old patient in her first pregnancy, who during active labour developed subcutaneous emphysema and pneumomediastinum. Pneumomediastinum in labour is a rare complication to Valsalva maneuver, and it is diagnosed with a computed tomography. The most common symptoms are chest pain, dyspnea, neck pain and odynophagia.
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