PMID: 16643714Apr 29, 2006Paper

Hamman's syndrome (spontaneous pneumomediastinum) in a parturient: a case report

Journal of Obstetrics and Gynaecology Canada : JOGC = Journal D'obstétrique Et Gynécologie Du Canada : JOGC
Miguel Marc Bonin

Abstract

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. 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. 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.

Citations

Mar 21, 2017·Case Reports in Obstetrics and Gynecology·Mohamed Adnane BerdaiMustapha Harandou
Jun 26, 2020·Journal of Surgical Case Reports·Dania BadranJames Ashcroft
Sep 24, 2008·Journal of Ultrasound in Medicine : Official Journal of the American Institute of Ultrasound in Medicine·Americo TestaNicolò Gentiloni Silveri
Nov 13, 2008·Journal of Obstetrics and Gynaecology : the Journal of the Institute of Obstetrics and Gynaecology·S Fatima, L M Irvine
Nov 13, 2008·Journal of Obstetrics and Gynaecology : the Journal of the Institute of Obstetrics and Gynaecology·A Mahboob, S D Eckford
Mar 23, 2011·Journal of Obstetrics and Gynaecology : the Journal of the Institute of Obstetrics and Gynaecology·J W R Dilley
Jun 30, 2019·BMJ Case Reports·Rhian Elin JamesErick Leyva Caraballo
Feb 18, 2015·Case Reports in Pulmonology·Daniyeh KhurramM Waseem Farra

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