Pneumomediastinum associated with labor¬: case report
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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.
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