Recurrent spontaneous pneumothorax during pregnancy managed conservatively: a case report
- Author:
Mohamed Faisal Abdul Hamid
;
Hazwani Aziz
;
Soo Chun Ian
;
Andrea Ban Yu Lin
- Publication Type:Case Reports
- Keywords:
Recurrent pneumothorax;
pregnancy
- MeSH:
Pneumothorax;
Pregnancy
- From:
The Medical Journal of Malaysia
2016;71(2):93-95
- CountryMalaysia
- Language:English
-
Abstract:
A 36-year-old lady presented with four episodes of right
sided pneumothorax during pregnancy requiring multiple
chest drain insertion. It was complicated with persistent air
leak despite low pressure high volume suction applied to the
chest drainage. She delivered safely through spontaneous
vaginal delivery with chest drainage. Further imaging by
high resolution computed tomography (HRCT) scan of
thorax done revealed bilateral scattered pulmonary cysts
and sub pleural bullae and was later followed up with
respiratory unit. She had no further episodes of
pneumothorax postpartum. This case highlights the vital
importance of prompt recognition and management of
pneumothorax in pregnancy as the patient involved is at
higher risk for acute respiratory failure leading to maternal
and/or foetal mortality. It is essential for early involvement of
obstetric team and to expedite the delivery for a better
perinatal and maternal outcome.
- Full text:P020160628445590941229.pdf