Subcutaneous emphysema and pneumomediastinum complicating labor in a twin pregnancy

Abstract

The first case of subcutaneous emphysema and pneumomediastinum complicating the labor of a twin gestation is reported. The case is characteristic in that the patient had been previously healthy, the second stage of labor was prolonged and difficult, and the patient complained of chest pain, shortness of breath, and dyspnea. Examination revealed subcutaneous crepitance to palpation and slightly diminished breath sounds. Radiographic findings were characteristic. The patient recovered with conservative management and no sequelae have been reported. Hamman's syndrome should be suspected in the parturient who complains of chest pain, shortness of breath, or dysphagia or who has facial or nuchal swelling.