Postpartum pneumomediastinum.

Singapore Med J

Department of Obstetrics and Gynaecology, Faculty of Medicine, Hospital University Kebangsaan Malaysia, Jalan Yaacob Latif, Cheras, Malaysia.

Published: June 2007

A 21-year-old primigravida with previous history of pulmonary tuberculosis had a normal but assisted vaginal delivery after a prolonged second stage. Within 12 hours, she complained of dyspnoea and was found to have abnormal neck and anterior chest wall swelling. A diagnosis of subcutaneous emphysema was made and this was confirmed with the chest radiograph, which also revealed pneumomediastinum. She recovered well within four days with conservative treatment.

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