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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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
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author Collins, Patrick D
McFerran, Samuel J
Goldrick, Isabelle
Cevallos-Morales, Joaquim
Martin-Lazaro, Juan
author_facet Collins, Patrick D
McFerran, Samuel J
Goldrick, Isabelle
Cevallos-Morales, Joaquim
Martin-Lazaro, Juan
author_sort Collins, Patrick D
collection PubMed
description 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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spelling pubmed-66843012019-08-13 Postpartum Bilateral Tension Pneumothoraces Collins, Patrick D McFerran, Samuel J Goldrick, Isabelle Cevallos-Morales, Joaquim Martin-Lazaro, Juan Cureus Emergency Medicine 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. Cureus 2019-06-07 /pmc/articles/PMC6684301/ /pubmed/31410339 http://dx.doi.org/10.7759/cureus.4856 Text en Copyright © 2019, Collins et al. http://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Emergency Medicine
Collins, Patrick D
McFerran, Samuel J
Goldrick, Isabelle
Cevallos-Morales, Joaquim
Martin-Lazaro, Juan
Postpartum Bilateral Tension Pneumothoraces
title Postpartum Bilateral Tension Pneumothoraces
title_full Postpartum Bilateral Tension Pneumothoraces
title_fullStr Postpartum Bilateral Tension Pneumothoraces
title_full_unstemmed Postpartum Bilateral Tension Pneumothoraces
title_short Postpartum Bilateral Tension Pneumothoraces
title_sort postpartum bilateral tension pneumothoraces
topic Emergency Medicine
url 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
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