Postpartum Bilateral Tension Pneumothoraces

We report the first case report of postpartum bilateral tension pneumothoraces. A 31-year-old primigravida presented with obstructive shock and respiratory failure five days following a normal spontaneous vaginal delivery. Bilateral surgical chest drains were inserted and following computed tomograp...

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Detalles Bibliográficos
Autores principales: Collins, Patrick D, McFerran, Samuel J, Goldrick, Isabelle, Cevallos-Morales, Joaquim, Martin-Lazaro, Juan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2019
Materias:
Emergency Medicine
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6684301/
https://www.ncbi.nlm.nih.gov/pubmed/31410339
http://dx.doi.org/10.7759/cureus.4856
Descripción
Sumario:We report the first case report of postpartum bilateral tension pneumothoraces. A 31-year-old primigravida presented with obstructive shock and respiratory failure five days following a normal spontaneous vaginal delivery. Bilateral surgical chest drains were inserted and following computed tomography suggestive of an underlying interstitial lung disease she was transferred to a tertiary cardiothoracic centre. Video-assisted thoracic surgery was carried out with left apicectomy and parietal pleurectomy. Histopathology supported a diagnosis of pulmonary lymphangioleiomyomatosis. We discuss the pathophysiology of labour-induced barotrauma and examine pertinent elements of the acute management of this case.

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