Spontaneous pneumomediastinum secondary to hyperemesis gravidarum

Gorbach, Jonathan; Counselman, Francis L.; Mendelson, Moss H.

doi:10.1016/s0736-4679(97)00142-x

Cited by 29 publications

(32 citation statements)

References 26 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…5 Known precipitating events include abuse of inhalational drugs such as crack cocaine, 10 acute asthma attacks, 11 coughing, vomiting, forceful straining during physical exercise, or other activities associated with a Valsalva-type maneuver such as straining in labor. 1,2,5,6,12,13 The mechanism of alveolar rupture in vomiting appears to be abdominal muscle contraction against a closed glottis, resulting in increased intra-alveolar pressure. 5 Most cases of Boerhaave's syndrome are associated with vomiting causing the intraluminal pressure of the esophagus to suddenly exceed the tensile strength of its wall.…”

Section: Discussionmentioning

confidence: 99%

“…14 Both of these conditions are associated with a wide range of symptoms including retrosternal chest pain, cough, sore throat, dysphonia, dysphagia, palpitations, neck discomfort, and dyspnea. [1][2][3]5,6,15 In one series of 17 patients with spontaneous pneumomediastinum, 82% of patients presented with chest pain, dyspnea, or both, whereas 18% of patients presented with neck discomfort only. 4 In another series of 24 patients with spontaneous pneumomediastinum, the most common symptoms were chest pain, neck discomfort, and persistent cough.…”

Section: Discussionmentioning

confidence: 99%

“…3,4,16 Subcutaneous emphysema has been reported in 41%-100% of cases. 1,2,6 An important determining factor in differentiating these Fig. 1.…”

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Vomiting-Induced Pneumomediastinum and Subcutaneous Emphysema Does Not Always Indicate Boerhaave's Syndrome: Report of Six Cases

et al. 2007

View full text Add to dashboard Cite

Spontaneous pneumomediastinum is an uncommon, self-limiting condition resulting from alveolar rupture in young adults. Because of the ambiguous presentation and the general lack of awareness of this condition, its diagnosis is often delayed, missed, or confused with spontaneous esophageal perforation. We report our experience of treating six patients who were referred to our unit with vomiting-induced pneumomediastinum, subcutaneous emphysema, and an initial diagnosis of spontaneous esophageal perforation. Ultimately, we diagnosed spontaneous pneumomediastinum in all six patients, who recovered uneventfully without any surgical intervention. We review the literature with particular emphasis on differentiating spontaneous pneumomediastinum from spontaneous esophageal perforation.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Vomiting-Induced Pneumomediastinum and Subcutaneous Emphysema Does Not Always Indicate Boerhaave's Syndrome: Report of Six Cases

et al. 2007

View full text Add to dashboard Cite

show abstract

“…The varied reported causes of spontaneous pneumomediastinum include cough, vomiting, valsalva manoeuvre in pregnancy, cocaine abuse and straining at stool 1–5…”

Section: Discussionmentioning

confidence: 99%

Vomiting-induced surgical emphysema and pneumomediastinum: a self-remitting or life-threatening condition?

Dyer

Jones

2011

Case Reports

View full text Add to dashboard Cite

A previously well 18-year-old male presented with a 3-day history of vomiting, abdominal pain and increasing neck swelling. X-rays demonstrated both pneumomediastinum and cervical surgical emphysema and initial efforts were centred upon excluding Boerhaave syndrome (vomiting-induced oesophageal rupture). Upper gastrointestinal endoscopy and contrast CT scans excluded breech of the oesophagus but did, however, confirm dilated small bowel. Over the days, his condition did not improve, repeat CT demonstrated worsening small bowel dilatation and he eventually underwent laparotomy on day 5 of his admission. This revealed a high-grade obstruction in the right iliac fossa (presumably from a previous appendicectomy). Following adhesiolysis, he made a full recovery from both small bowel obstruction and surgical emphysema.

show abstract

“…4,5 In vitro fertilisation techniques can complicate with severe ovarian hyperstimulation system resulting in pleural effusions.…”

Section: Aetiologymentioning

confidence: 99%

Pleural Diseases in Pregnancy: Aetiology and Management

Ngwenya¹

2017

Pulm Res Respir Med Open J

View full text Add to dashboard Cite

Pleural diseases in pregnancy can cause considerable maternal and fetal morbidity and mortality. Some like pleural effusions may be small and pose like danger or massive causing significant respiratory compromise. Others like pneumomediastinum are rare in pregnancy but can be fatal. Emergency interventions may save lives. Such interventions may include periportum caesarean section. The management of such conditions calls for the involvement of a multi-disciplinary team. Clinicians caring for pregnant women must always be well prepared to deal with any respiratory emergencies that may arise and be prepared to take prompt and bold decisions to give life-saving treatment.

show abstract

Spontaneous pneumomediastinum secondary to hyperemesis gravidarum

Cited by 29 publications

References 26 publications

Vomiting-Induced Pneumomediastinum and Subcutaneous Emphysema Does Not Always Indicate Boerhaave's Syndrome: Report of Six Cases

Vomiting-Induced Pneumomediastinum and Subcutaneous Emphysema Does Not Always Indicate Boerhaave's Syndrome: Report of Six Cases

Vomiting-induced surgical emphysema and pneumomediastinum: a self-remitting or life-threatening condition?

Pleural Diseases in Pregnancy: Aetiology and Management

Contact Info

Product

Resources

About