Pneumomediastinum associated with labor¬: case report

Neumomediastino asociado al trabajo de parto: reporte de caso

##plugins.themes.bootstrap3.article.main##

Jhon Edison Ijají Piamba
Victoria Alejandra Rodríguez Castillo
Jorge Armando Cerón Bastidas
Sophia Hoyos Zúñiga
Jenny Cristina Gonzáles Dagua
Roberth Alirio Ortiz Martínez
Abstract

Background. Pneumomediastinum associated with labor is an exceptional entity, with only around 200 cases reported worldwide. Clinical case summary. We present the case of a primigestante woman, who after a labor with prolonged expulsive period, presents clinical picture consisting of dyspnea, chest pain and edema of the face and neck. The diagnosis of pneumomediastinum associated with labor was made; and it was confirmed by radiography and computed tomography of the thorax. The patient received conservative treatment based on analgesic medication and oxygen supply with satisfactory clinical evolution. Conclusions. The diagnosis of spontaneous pneumomediastinum is eminently clinical. Support measures, including oxygen therapy, analgesia and anxiolysis, are the main basis of the treatment of this pathology.


 

Downloads

Download data is not yet available.

##plugins.themes.bootstrap3.article.details##

Author Biographies / See

Jhon Edison Ijají Piamba, Universidad del Cauca

Médico y cirujano

Victoria Alejandra Rodríguez Castillo, Universidad del Cauca

Médico y cirujano

Jorge Armando Cerón Bastidas, Universidad del Cauca

Médico y cirujano

Sophia Hoyos Zúñiga, Universidad Libre

Médica y cirujana. Universidad Libre. Santiago de Cali- Colombia

Jenny Cristina Gonzáles Dagua, Universidad del Cauca

Residente Especialización en Ginecología y Obstetricia. 

Roberth Alirio Ortiz Martínez, Universidad del Cauca

Departamento Ginecología y Obstetricia. Universidad del Cauca.

References

Álvarez C, Jadue A, Rojas RF, Cerda C, Ramírez M, Cornejo C. Neumomediastino espontáneo (síndrome de Hamman): Una enfermedad benigna mal diagnosticada. Rev. méd. 2009:137(8):1045-50. Doi: http://dx.doi.org/10.4067/S0034-98872009000800007

Silva F, Barros D, Raddatz A. Neumomediastino espontáneo (Síndrome de Hamman), una entidad poco frecuente no siempre reconocida. Rev Chil Cir.2013; 65(5):442-7. Doi: http://dx.doi.org/10.4067/S0718-40262013000500013

Coelho LG, Tavares de Figueiredo E, Machado Haesbaert C. Pneumomediastino espontâneo, síndrome de Hamman, relato de caso. Medicina (Ribeirão Preto. Online) 2016;49(6):574-7. Doi: https://doi.org/10.11606/issn.2176-7262.v49i6p574-577

Berdai M, Benlamkadem S, Labib S, Harandou M. Spontaneous Pneumomediastinum in Labor. Case Rep Obstet Gynecol. 2017; 2017: 6235076. Article ID 6235076, 3 pages. Doi: https://doi.org/10.1155/2017/6235076

Kandiah S, Iswariah H, Elgey S. Postpartum Pneumomediastinum and Subcutaneous Emphysema: Two Case Reports. Case Rep Obstet Gynecol. 2013; 2013: 735154. Doi: http://dx.doi.org/10.1155/2013/735154

Campillo-Soto A, Coll-Salinas V, Soria-Aledo A, Blanco-Barrio A, Flores-Pastor M, Candel J, et al. Neumomediastino espontáneo: estudio descriptivo de nuestra experiencia basada en 36 casos. Arch Bronconeumol. 2005;41(9):528-31. https://doi.org/10.1157/13078656

Beynon F, Mearns S. Spontaneous pneumomediastinum following normal labour. BMJ Case Rep. 2011; 20:2011. pii: bcr0720114556. Doi: http://dx.doi.org/10.1136/bcr.07.2011.4556

Campbell S, Vargas SA, Gómez JM, Escobar AE, Muñoz JK. Síndrome de Hamman. Acta Med Colomb. 2016;41(3):206-10.

Çintesun E, ‹ncesu Çintesun FN. Spontaneous pneumomediastinum and pneumothorax developing after vaginal delivery. Perinatal J. 2016;24(3):174-7.

Mondello B, Pavia R, Ruggeri P, Barone M, Barresi P, Monaco M. Spontaneous pneumomediastinum: experience in 18 adult patients. Lung. 2007;185(1):9-14.

Krause H, Portmann C. Pneumomediastinum following vaginal delivery. ANZJOG. 2000;40(1):106-7. Doi: https://doi.org/10.1111/j.1479-828X.2000.tb03181.x

Khurram D, Patel B, Farra W. Hamman's Syndrome: A Rare Cause of Chest Pain in a Postpartum Patient. Case Rep Pulmonol. 2015;2015:201051.Doi: http://dx.doi.org/10.1155/2015/201051

Kouki S, Fares AA. Postpartum spontaneous pneumomediastinum 'Hamman's syndrome'. BMJ Case Rep. 2013;2013. pii: bcr2013010354. http://dx.doi.org/10.1136/bcr-2013-010354

Spronk PE, Landheer W, Wessels F, Kardux JJ, Huisman M. Hamman’s síndrome. Neth J Crit Care. 2011;15(1):30-1.

Yadav Y, Ramesh L, Davies JA, Nawaz H, Wheeler R. Gross spontaneous pneumomediastinum (Hamman's syndrome) in a labouring patient. J Obstet Gynaecol. 2008;28(6):651-2. Doi: https://doi.org/10.1080/01443610802378058

OJS System - Metabiblioteca |