Spontaneous pneumothorax in pregnancy: a case report

Mohammadi, Afshin; Rad, Mohammad Ghasemi; Afrasiabi, Zaman

doi:10.5578/tt.2621

Cited by 4 publications

(2 citation statements)

References 6 publications

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“…Spontaneous acute pneumothorax may occur as a result of spontaneous rupture of subpleural blebs or bullae in a patient with previously healthy lungs (1,2) . It is extremely rare during pregnancy and potentially serious for both mother and fetus (3,4) .…”

Section: öZet Introductionmentioning

confidence: 99%

Spontaneous pneumothorax and pneumomediastinum in pregnancy: A case report

Karadaş¹,

Okyay²,

Odabaşı³

et al. 2014

tjod

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Spontan akut pnömotoraks subplevral bleb veya büllerin spontan rüptürü sonucu gelişebilen ve gebelikte son derece nadir görülen bir durumdur. İki günlük dispneyi takiben toraks üst kısımlarda ve boyunda gelişen ağrı ve şişlik şikayeti ile başvuran genç bir gebede bilateral pnömotoraks ve pnömomediastinum teşhis edildi. Tedavide on günlük hospitalizasyon süresince gerek duyuldukça nazal oksijen, anljezikler ve antiemetikler kullanıldı. Bu süre sonunda, fizik muayene bulguları, akciğer filmi ve oksijen saturasyonunda iyileşme kaydedildi. Destekleyici tedaviler yeterli olduğundan cerrahi ya da toraks tüpü gibi invaziv tedavilere gerek duyulmadı. Nadir görülmesine rağmen, dispne ve göğüs ağrısı şikayeti olan her gebede pnömotoraks akla getirilmeli ve diğer durumlardan ayırt etmek için tanı radyografik olarak doğrulanmalıdır. Bu raporda, 10 haftalık bir primigravid gebede spontan akut pnömotoraks ve pnömomediastinum olgusu sunulmuştur. J Turk Soc Obstet Gynecol 2014;2:131-33 AbstractSpontaneous acute pneumothorax may occur as a result of spontaneous rupture of subpleural blebs or bullae and it is extremely rare during pregnancy. Bilateral pneumothorax and pneumomediastinum were detected in a young pregnant woman admitted with the complaints of swelling and pain on her neck and upper thorax following 2 days of dyspnea. Nasal oxygen, analgesics and antiemetics were used as needed during ten days of hospitalization. Physical findings, chest x-ray and oxygen saturation improved at the end of this period. Since supportive treatment was sufficient, invasive treatments such as surgery or thorax tube were not required. Although rare, pneumothoax should be remembered in any pregnant woman with dyspnea and chest-pain and must be confirmed radiographically to distinguish it from other diseases and conditions. In this report, a case of spontaneous acute pneumothorax and pneumomediastinum in a 10 week primigravida is presented. J Turk Soc Obstet Gynecol 2014;2:131-33

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Section: öZet Introductionmentioning

confidence: 99%

Spontaneous pneumothorax and pneumomediastinum in pregnancy: A case report

Karadaş¹,

Okyay²,

Odabaşı³

et al. 2014

tjod

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“…Urgent thoracostomy for patients in respiratory distress relieves pneumothoraces and haemothoraces while awaiting definitive treatment. 10,15 Pleurodeisis could cause infection, lung punch and fibrosis.…”

Section: Interventional Pulmonology Encompasses Pleural Interventionsmentioning

confidence: 99%

Pleural Diseases in Pregnancy: Aetiology and Management

Ngwenya¹

2017

Pulm Res Respir Med Open J

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Pleural diseases in pregnancy can cause considerable maternal and fetal morbidity and mortality. Some like pleural effusions may be small and pose like danger or massive causing significant respiratory compromise. Others like pneumomediastinum are rare in pregnancy but can be fatal. Emergency interventions may save lives. Such interventions may include periportum caesarean section. The management of such conditions calls for the involvement of a multi-disciplinary team. Clinicians caring for pregnant women must always be well prepared to deal with any respiratory emergencies that may arise and be prepared to take prompt and bold decisions to give life-saving treatment.

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Pneumothorax and Pregnancy: A Systematic Review of the Current Literature and Proposal of Treatment Recommendations

Agrafiotis

Assouad

Lardinois

et al. 2020

Thorac Cardiovasc Surg

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Introduction Spontaneous pneumothorax occurs rarely during pregnancy with less than 100 cases reported in the English literature. There is no strong evidence concerning the treatment of spontaneous pneumothorax during pregnancy and labor. The aim of this study is to systematically review all the reported cases and to suggest recommendations for its diagnosis and treatment. Methods A PubMed research was conducted. The following data were collected: maternal age, gestation age (weeks), presence of underlying lung pathology, initial management, definitive management, obstetric outcome, and the complications for the mother and the fetus. Results Eighty-seven cases were identified. The mean maternal age was 27 years (standard deviation [SD] ± 6). The mean gestational age was 25 weeks (SD ± 11.4). In 37.9% of cases, there was no underlying lung disease. In the majority of cases (67.4%), the initial treatment was the placement of a chest tube. In 48% of cases, the pneumothorax was resolved with conservative treatment. Surgical therapy was performed either antepartum or postpartum. In 58.6% of cases, there was a vaginal delivery, spontaneous or instrumental. In three cases (3.4%), there were fetal complications. Conclusion The analysis of the current literature provides low evidence, since there are only case reports and small case series. It is likely that the frequency of this condition is underestimated. However, this analysis permits to draw some conclusions concerning the timing of pneumothorax treatment, the operative strategy, and the mode of delivery to decrease the risk for the mother and the fetus.

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Spontaneous pneumothorax in pregnancy: a case report

Abstract: ÖZET Gebelikte spontan pnömotoraks: Olgu sunumu

Cited by 4 publications

References 6 publications

Spontaneous pneumothorax and pneumomediastinum in pregnancy: A case report

Spontaneous pneumothorax and pneumomediastinum in pregnancy: A case report

Pleural Diseases in Pregnancy: Aetiology and Management

Pneumothorax and Pregnancy: A Systematic Review of the Current Literature and Proposal of Treatment Recommendations

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