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Ann Thorac Surg 2002;73:314-315
© 2002 The Society of Thoracic Surgeons


Case report

Pneumomediastinum during spontaneous vaginal delivery

Fraser W.H. Sutherland, FRCS*a, Stephanie Y.G. Ho, MBa, Ciro Campanella, MDa

a Department of Cardiothoracic Surgery, The Royal Infirmary of Edinburgh, Edinburgh, Scotland, UK

Accepted for publication March 23, 2001.

* Address reprint requests to Mr Sutherland, Department of Cardiovascular Surgery, Children’s Hospital, 300 Longwood Ave, Boston, MA 02115, USA
e-mail: sutherlandfraser{at}hotmail.com

We report two rare cases of spontaneous pneumomediastinum that presented shortly after childbirth and resolved without treatment. Spontaneous pneumomediastinum has been described in a wide range of seemingly unrelated but recurrent clinical scenarios. We highlight their common etiologic factors and provide the anatomic and physiologic bases for the radiologic signs that are common in all these conditions.




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