An unusual emergency condition in pregnancy: pneumothorax. Case series and review of the literature

Akçay, Onur; Uysal, Ahmet; Samancılar, Özgür; Ceylan, Kenan Can; Sevinç, Serpil; Kaya, Şeyda Örs

doi:10.1007/s00404-012-2510-4

Cited by 9 publications

(17 citation statements)

References 5 publications

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“…Rupture of a subpleural apical bulla or bleb, pulmonary lymphangiomatosis and cavitary tuberculosis are the most common cause of spontaneous pneumothorax in pregnancy (3,4) . No history of pulmonary lymphangiomatosis or tuberculosis was noted in our patient.…”

Section: Discussionmentioning

confidence: 99%

“…Spontaneous pneumothorax occurred during the perinatal period in 53.3% and during the first or second trimester in 46.7% of cases (3) . According to the review of 45 cases, the patients were young (average age 26.7±2.3 years) and of low gravidity (mean gravidity 1.7) (3,4) . Our patient was also quite young and it was her first pregnancy.…”

Section: Discussionmentioning

confidence: 99%

“…It is extremely rare during pregnancy and potentially serious for both mother and fetus (3,4) . Diagnosis, treatment, follow-up of pregnancy and also the timing and mode of delivery are all problems related to this disease.…”

Section: öZet Introductionmentioning

confidence: 99%

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Spontaneous pneumothorax and pneumomediastinum in pregnancy: A case report

Karadaş¹,

Okyay²,

Odabaşı³

et al. 2014

tjod

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Spontan akut pnömotoraks subplevral bleb veya büllerin spontan rüptürü sonucu gelişebilen ve gebelikte son derece nadir görülen bir durumdur. İki günlük dispneyi takiben toraks üst kısımlarda ve boyunda gelişen ağrı ve şişlik şikayeti ile başvuran genç bir gebede bilateral pnömotoraks ve pnömomediastinum teşhis edildi. Tedavide on günlük hospitalizasyon süresince gerek duyuldukça nazal oksijen, anljezikler ve antiemetikler kullanıldı. Bu süre sonunda, fizik muayene bulguları, akciğer filmi ve oksijen saturasyonunda iyileşme kaydedildi. Destekleyici tedaviler yeterli olduğundan cerrahi ya da toraks tüpü gibi invaziv tedavilere gerek duyulmadı. Nadir görülmesine rağmen, dispne ve göğüs ağrısı şikayeti olan her gebede pnömotoraks akla getirilmeli ve diğer durumlardan ayırt etmek için tanı radyografik olarak doğrulanmalıdır. Bu raporda, 10 haftalık bir primigravid gebede spontan akut pnömotoraks ve pnömomediastinum olgusu sunulmuştur. J Turk Soc Obstet Gynecol 2014;2:131-33 AbstractSpontaneous acute pneumothorax may occur as a result of spontaneous rupture of subpleural blebs or bullae and it is extremely rare during pregnancy. Bilateral pneumothorax and pneumomediastinum were detected in a young pregnant woman admitted with the complaints of swelling and pain on her neck and upper thorax following 2 days of dyspnea. Nasal oxygen, analgesics and antiemetics were used as needed during ten days of hospitalization. Physical findings, chest x-ray and oxygen saturation improved at the end of this period. Since supportive treatment was sufficient, invasive treatments such as surgery or thorax tube were not required. Although rare, pneumothoax should be remembered in any pregnant woman with dyspnea and chest-pain and must be confirmed radiographically to distinguish it from other diseases and conditions. In this report, a case of spontaneous acute pneumothorax and pneumomediastinum in a 10 week primigravida is presented. J Turk Soc Obstet Gynecol 2014;2:131-33

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Spontaneous pneumothorax and pneumomediastinum in pregnancy: A case report

Karadaş¹,

Okyay²,

Odabaşı³

et al. 2014

tjod

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show abstract

“…Apart from trauma, spontaneous pneumomediastinum and spontaneous pneumothorax that develop during pregnancy and maternity are rare occurrences [5,6]. Generally chest pain which is present in the clinical symptoms of the patients is accompanied with dyspnoea, dysphonia and subcutaneous emphysema in the neck [7].…”

Section: Discussionmentioning

confidence: 99%

Pneumomediastinum After Difficult Vaginal Delivery

Sizlanan¹,

Akçay²

2016

Turk Toraks Dergisi

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17-year-old primigravida patient presented with chest pain, dyspnea, sore throat and a sensation of swelling in the neck and throat approximately 3 hours after difficult vaginal delivery at home. Breath sounds were equal bilaterally. Physical examination revealed subcutaneous emphysema that expanded from the anterior thorax to the neck. Posteroanterior (PA) chest X-ray showed air in the neck and thoracic computed tomography showed pneumomediastinum. The patient was admitted to our clinic and was started on ampicillin-sulbactam 3 x 1 grams iv, paracetamol 2 x 1000 mg and 3 L/min of oxygen therapy. C-reactive protein (CRP) concentration and erythrocyte sedimentation rate (ESR), which were monitored on a daily basis, showed decline. Repeated chest X-rays did not show any progression. The patient was clinically stable and was discharged from the hospital on the third day. Currently in her third month of follow-up, the patient is stable.

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“…Le pronostic maternel et foetal est le plus souvent favorable. Le taux de mortalité foetale reste très faible [2].…”

Section: Discussionunclassified