Department of Surgery, Zuyderland medical center, Heerlen, The Netherlands.
Department of Surgery, Maastricht University Medical Center, Maastricht, The Netherlands.
Acta Chir Belg. 2023 Jun;123(3):301-304. doi: 10.1080/00015458.2021.1975972. Epub 2021 Sep 15.
Pneumomediastium is a rare complication of pregnancy or labor.
Here, we report our findings in a case report (gravid 5, para 2, gestational age 33 + 4 weeks) and narratively review the current literature on pneumomediastinum in pregnancy or labor.
Our case is the first case that experienced pneumomediastinum after relatively limited exposure to barotrauma in the current pregnancy. Other reports describe pneumomediastinum after hyperemesis gravidarum or during labor. Treatment is usually conservatively due to the trauma mechanism of barotrauma to the alveoli.
Physicians should be aware of the possibility of pneumomediastinum in pregnant women with acute thoracic pain in cases of (previous) hyperemesis gravidarum or during labor.
纵隔气肿是妊娠或分娩的罕见并发症。
在此，我们报告了一例病例报告（妊娠 5 次，产次 2 次，孕周 33+4 周）的结果，并对当前妊娠或分娩时纵隔气肿的文献进行了叙述性综述。
我们的病例是当前妊娠中相对有限的气压伤暴露后发生纵隔气肿的首例病例。其他报告描述了妊娠剧吐或分娩时发生的纵隔气肿。由于肺泡气压伤的创伤机制，治疗通常是保守的。
对于（既往）妊娠剧吐或分娩时出现急性胸痛的孕妇，医生应意识到发生纵隔气肿的可能性。
