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Subcutaneous emphysema in pregnancy

A Shrestha1, S Acharya

  • 1Department of General Practice and Emergency Medicine, Patan Academy of Health Science, Patan. ashis_ktm@yahoo.com

JNMA; Journal of the Nepal Medical Association
|August 28, 2012
PubMed

Spontaneous pneumomediastinum and subcutaneous emphysema are rare complications of labor, especially in the late pregnancy period, but they are usually self-limiting. Management includes avoidance of exacerbative factors and close observation with supportive treatment. A 19-year-old primi gravida at 36 weeks pregnancy presented with swelling over the right side of the face, neck and chest. Her general examination was normal. Systemic examination revealed swelling with palpatory crepitation over the right side of chest, neck and face, and other examination findings were normal. Chest X-ray revealed subcutaneous emphysema without pneumothorax. The patient left hospital against medical advice.

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