Item request has been placed! ×
Item request cannot be made. ×
loading  Processing Request

An interesting case of post-partum chest tightness, facial asymmetry, and dysphonia.

Item request has been placed! ×
Item request cannot be made. ×
loading   Processing Request
  • المؤلفون: Chen A.
  • نوع التسجيلة:
    Electronic Resource
  • الدخول الالكتروني :
    https://repository.monashhealth.org/monashhealthjspui/handle/1/36433
    Click here for full text options
    LibKey Link
  • معلومة اضافية
    • Publisher Information:
      Blackwell Publishing Netherlands 2020-04-29
    • نبذة مختصرة :
      Background: The aetiology of post-partum chest pain range from benign to life-threatening. Concerning causes include pulmonary embolism, pneumothorax, myocardial infarction, peripar-tum cardiomyopathy, aortic dissection, and oesophageal rupture. Case: A 24-year-old primigravid, antenatally well lady arrived fully dilated in spontaneous labour. She commenced pushing and at 1 h suddenly developed right-sided facial, eyelid, and neck swelling. She progressed to deliver a male liveborn baby. Day 1 post-partum she developed worsening throat swelling, dysphonia, chest tightness, and subcutaneous emphysema along her trachea and anterior chest with normal air entry and vital signs. An ECG was norma and chest x-ray showed pneumomediastinum and bilateral supraclavicular subcutaneous emphysema. A follow-up CT scan showed a moderate to large volume pneumomediastinum encircling the oesophagus, trachea, and thyroid. Gas was also tracking bilaterally within the bronchovascular interstitium, the oblique and right horizontal fissure, lower cervical soft tissues and bilateral supraclavicular regions with no signs of oesophageal perforation. She was diagnosed with Hamman's syndrome (spontaneous pneumomediastinum and subcutaneous emphysema) and managed conservatively. The patient's condition gradually stabilized prior to discharge. Discussion(s): Hamman's syndrome is an uncommon cause of spontaneous pneumomediastinum and subcutaneous emphysema. Pneumomediastinum occurs when air leaks through smal alveolar ruptures, the upper respiratory, or gastrointestinal tracts. Predisposing factors include prolonged labour, forceful coughing or vomiting, or asthmatic bronchospasm. Common presenting symptoms of pneumomediastinum include chest pain, dyspnoea, cough, neck pain, odynophagia, dysphagia. Exclusion of other serous causes of pneumomediastinum including pneumothorax and Boerhaave's syndrome (spontaneous transmural perforation of the oesophagus) is essential.
    • الموضوع:
    • Availability:
      Open access content. Open access content
      Copyright 2020 Elsevier B.V., All rights reserved.
    • Other Numbers:
      AUSHL oai:repository.monashhealth.org:1/36433
      Australian and New Zealand Journal of Obstetrics and Gynaecology. Conference: Annual Scientifi c Meeting of the Royal Australian and New Zealand College of Obstetricians and Gynaecologists, RANZCOG 2019. Melbourne, VIC Australia. 59 (Supplement 1) (pp 76-77), 2019. Date of Publication: October 2019.
      1479-828X
      https://repository.monashhealth.org/monashhealthjspui/handle/1/36433
      Monash Health
      631568804
      (Chen) Monash Health
      (Chen) Monash Health
      1305122985
    • Contributing Source:
      MONASH HEALTH LIBRS
      From OAIster®, provided by the OCLC Cooperative.
    • الرقم المعرف:
      edsoai.on1305122985
HoldingsOnline