1/14. Mediastinal and subcutaneous emphysema in labor.The recent world literature on mediastinal emphysema has been reviewed and two cases added. This condition is relatively benign, and the supportive treatment is discussed. Subsequent pregnancies have been uncomplicated.- - - - - - - - - - ranking = 1keywords = emphysema (Clic here for more details about this article) |
2/14. Spontaneous pneumomediastinum presenting as jaw pain during labor.BACKGROUND: Pneumomediastinum, or presence of free air within the mediastinum, is a rare complication of labor. Common symptoms of this condition include chest pain, dyspnea, and subcutaneous emphysema. CASE: A woman complained of right jaw pain 90 minutes after the onset of her second stage of labor. On examination, she was found to have swelling and crepitus over her face, neck, and supraclavicular region. A chest radiograph demonstrated a pneumomediastinum, which resolved spontaneously. CONCLUSION: Pneumomediastinum is associated with Valsalva maneuvers such as those seen during the second stage of labor. We report jaw pain as an unusual presenting symptom of this rare condition. Familiarity with the presenting symptoms of a pneumomediastinum is imperative for appropriate treatment and monitoring for significant complications.- - - - - - - - - - ranking = 0.2keywords = emphysema (Clic here for more details about this article) |
3/14. The development of subcutaneous emphysema after delivery on a specially designed chair.A case of a 23-year-old woman, with an uncomplicated term pregnancy, who developed subcutaneous emphysema 12 hours after the delivery on a specially designed chair is reported. subcutaneous emphysema is an uncommon delivery complication, with a favourable outcome. The pathophysiology and treatment modalities of this rare phenomenon are discussed.- - - - - - - - - - ranking = 1.2keywords = emphysema (Clic here for more details about this article) |
4/14. Pneumomediastinum in labour -- probably not caused by a lumbar epidural anaesthesia.We describe a case of pneumomediastinum and subcutaneous emphysema during labour. The patient had previously received an epidural anaesthesia to alleviate labour pain. We found several reports of subcutaneous emphysema and pneumomediastinum (or pneumothorax) possibly caused by or related to epidural anaesthesia use, but conclude that the epidural anaesthesia was probably not a cause in our case.- - - - - - - - - - ranking = 0.4keywords = emphysema (Clic here for more details about this article) |
5/14. Post partum pneumomediastinum.A 19-year-old primigravida had a normal vaginal delivery after a 90-minute second stage of labour. Within two hours she complained of dyspnoea and was noticed to have unusual swelling of the face and neck. The diagnosis of subcutaneous emphysema was confirmed by chest X-ray and pneumomediastinum was also detected. Uneventful recovery over four days followed conservative management, administration of oxygen and use of simple analgesics.- - - - - - - - - - ranking = 0.2keywords = emphysema (Clic here for more details about this article) |
6/14. Pneumomediastinum and pneumothorax associated with labour.A 19-year-old primiparous woman in labour presented with spontaneous pneumomediastinum, pneumothorax and surgical emphysema. The membranes were intact and the fetus had a breech presentation. There was little improvement in her symptoms and labour progressed slowly. A caesarean section was performed under intrathecal block resulting in the birth of a healthy infant. The patient's symptoms resolved with supportive management. This condition is very rare and is generally self-limiting. Management aims to avoid worsening of pneumothorax and pneumomediastinum. recurrence is unlikely.- - - - - - - - - - ranking = 0.2keywords = emphysema (Clic here for more details about this article) |
7/14. Hamman's syndrome (spontaneous pneumomediastinum) in a parturient: a case report.BACKGROUND: subcutaneous emphysema and pneumomediastinum in labour and delivery is a rare but potentially serious occurrence that must be identified and managed appropriately to avoid unnecessary investigations and interventions. Published reports indicate that subsequent pregnancies pose no additional risk for recurrence. CASE: A 27-year-old primiparous patient with an uneventful pregnancy and delivery developed subcutaneous emphysema but remained stable clinically. Chest radiography confirmed a pneumomediastinum. She was managed conservatively with supportive measures and anxiolytics and showed complete resolution after five days. A future pregnancy is planned. CONCLUSION: Recognition of spontaneous pneumomediastinum and its potential consequences during labour and delivery requires vigilance. Supportive measures alone may be the only requirement for resolution. recurrence of the condition is rare, but the appropriate management of subsequent pregnancies is unclear. Expectant management with epidural analgesia to minimize active pushing is suggested in a subsequent spontaneous vaginal delivery.- - - - - - - - - - ranking = 0.4keywords = emphysema (Clic here for more details about this article) |
8/14. Spontaneous pneumomediastinum.A 15-year-old pregnant girl developed severe substernal pain during the final effort to give birth to her first child. Shortly thereafter a growing crepitant suprasternal swelling was noted. Pneumomediastinum and subcutaneous emphysema was clearly demonstrated by a chest film showing mediastinal air dissecting towards the neck and supradiaphragmatically. The causes and physiopathology of spontaneous pneumomediastinum are reviewed. The therapeutic use of oxygen is discussed.- - - - - - - - - - ranking = 0.2keywords = emphysema (Clic here for more details about this article) |
9/14. subcutaneous emphysema and pneumomediastinum complicating labor in a twin pregnancy.Although a rare complication of labor, subcutaneous emphysema and pneumomediastinum (Hamman's syndrome) must be considered in the parturient complaining of chest or neck pain, dysphagia, or shortness of breath. With conservative management, the prognosis is favorable. The case presented is the first of Hamman's syndrome complicating the labor of a twin gestation. The pathophysiology, symptoms, and management guidelines for the syndrome are reviewed.- - - - - - - - - - ranking = 1keywords = emphysema (Clic here for more details about this article) |
10/14. Labor complicated by spontaneous emphysema.Spontaneous subcutaneous and mediastinal emphysema is a rare but potentially dangerous complication of delivery. The condition was observed in a 24-year-old, small and slightly-built primipara after vaginal delivery of a large infant.- - - - - - - - - - ranking = 1keywords = emphysema (Clic here for more details about this article) |
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