Pneumomediastinum in labor

Gemer, Ofer; Popescu, Mara; Lebowits, O.; Segal, Samuel

doi:10.1007/bf02390675

Cited by 15 publications

(14 citation statements)

References 10 publications

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“…This may have resulted in subpleural leakage of air into the pulmonary interstitium, tracking along the mediastinum. A similar complication has been previously reported in a primigravida in the second stage of labour [2]. Haematocolpos should thus be considered in the dierential diagnosis of low back pain and lower abdominal symptoms in teenage girls.…”

Section: Discussionmentioning

confidence: 64%

Backache: a rare diagnosis and unusual complication

Buick

Chowdhary

1999

Pediatric Surgery International

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We report an adolescent girl who presented with an acute exacerbation of a chronic backache of 6 months duration. She complained of dribbling micturition, constipation, and an irresistible urge to strain for 72 h. In the waiting area of the local hospital she developed sudden, severe chest pain with progressive swelling of the upper torso. This proved to be the mode of presentation of a haematocolpos due to an imperforate hymen with the unusual complication of mediastinal emphysema. Imperforate hymen is a rare diagnosis, but should be considered when dealing with an adolescent girl with lower abdominal symptoms or backache.

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Section: Discussionmentioning

confidence: 64%

Backache: a rare diagnosis and unusual complication

Buick

Chowdhary

1999

Pediatric Surgery International

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“…8;9 Surgical emphysema of the neck and face is pathognomonic. 4 The electrocardiogram is not very useful but changes may include sinus tachycardia with ST and T wave abnormalities in 25% of sufferers. 4;5 The chest Xray is diagnostic.…”

Section: Discussionmentioning

confidence: 99%

“…1 It mainly occurs in young, healthy, primiparous women with dystocic labour. [1][2][3][4][5][6] The causal mechanism is debatable. Increased intraluminal and intra-alveolar pressure caused by Valsava manoeuvres during the expulsive phase of labour may cause alveoli to rupture and air to track between the parietal and visceral pleura and along the perivascular sheath into the mediastinum.…”

Section: Discussionmentioning

confidence: 99%

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Pneumomediastinum and pneumothorax associated with labour

Miguil

Chekairi

2004

International Journal of Obstetric Anesthesia

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“…This infrequent and self-limiting condition results either from prolonged Valsalva manoeuvre during labour, sports, musical instrument performance [7], inhalation of drugs, or as a result of mechanical airway obstruction [1]. Usually it affects young males (13-35 years) and pregnant females, and is more frequent in thin patients [8].…”

Section: Discussionmentioning

confidence: 99%

Acute pneumomediastinum secondary to hydrogen peroxide therapy of upper right limb wound

et al. 2007

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Zusammenfassung. Grundlagen: Das Pneumodiastinum oder auch Mediastinalemphysem ist eine krankhafte Luftansammlung im Mittelfellraum. Auch wenn das Mediastinalemphysem, das aus nichtmallignen Krankenheiten entsteht, hauptsä chlich konservativ behandelt wird, in Fä llen wo es durch Verletzungen in luftaustauschenden Organen (z. B. Luftrö hre, Bronchien) und der Speiserö hre kann dies passieren, muss es unbedingt operativ behandelt werden. Das von einer sehr hohen Mortalitä ts-und=oder Morbiditä t gefolgt. Methodik: Fallbericht. Ergebnisse: Es handelt sich um einen mä nnlichen Patienten mit klinischem und rö ntgenologischem Befund eines akuten Mediastinalempysems des vorderen Thoraxwand gefolgt, ohne welche Anreichen einer Entzü ndung. Der Patient wies ein Trauma am rechten Ellbogen auf, das mit 10% igen Wasserstoffperoxydlö sungen behandelt wurde. Es wurde eine konservative Behandlung mit gutem Ausgang durchgefü hrt. Schlussfolgerungen: Durch dem ob. Fall kommen wir zu der Schlussfolgerung dass, das Mediastinalemphysem, das aus einer Vielfalt von Entstehung Ursachen [gefä hrliche Sä uren, andere Grü nde] zustande kommt, von einer grossen differentialdiagnostischen Problematisierung charakterisiert wird.Eine Notfalloperation muss also solange vermieden werden, bis zumindest die Entstehungursache gefunden und somit eine sichere Diagnose gestellt werden kann. Schlü sselwö rter: Pneumodiastinum, Mediastinalemphysem, Wasserstoffperoxydlö sungen.Summary. Background: Pneumomediastinum, or mediastinal emphysema is defined by the presence of air or gas in the mediastinum. Although mediastinal emphysema due to benign causes is cured mainly conservatively, however, in cases of pneumomediastinum due to oesophageal or tracheobronchial rupture, surgical treatment is necessary and involves high morbidity and mortality.Method: Case report.Results: A male patient with clinical and radiological signs of acute pneumomediastinum and subcutaneous emphysema of anterior thoracic wall, without signs of infection, is presented. A wound in the right elbow, which was treated by irrigation of 10% hydrogen peroxide solution, was reported. Conservative treatment was decided with good final outcome.Conclusions: It is concluded that although pneumomediastinum carries potentially life-threatening differential diagnoses, urgent surgical treatment should be avoided when accurate diagnosis is not previously set.

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Pneumomediastinum in labor

Abstract: We describe pneumomediastinum in a primigravida with delay in the second stage of labor. The pathophysiology, clinical presentation, and management are reviewed.

Cited by 15 publications

References 10 publications

Backache: a rare diagnosis and unusual complication

Backache: a rare diagnosis and unusual complication

Pneumomediastinum and pneumothorax associated with labour

Acute pneumomediastinum secondary to hydrogen peroxide therapy of upper right limb wound

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