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Case Reports in Obstetrics and Gynecology
Volume 2017, Article ID 6235076, 3 pages
Case Report

Spontaneous Pneumomediastinum in Labor

Obstetric and Pediatric Intensive Care Unit, Hassan II University Hospital, Sidi Mohamed Ben Abdellah University, Fez, Morocco

Correspondence should be addressed to Mohamed Adnane Berdai; rf.oohay@iadreb.enanda

Received 23 December 2016; Accepted 31 January 2017; Published 21 February 2017

Academic Editor: Ian MacKenzie

Copyright © 2017 Mohamed Adnane Berdai et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Spontaneous pneumomediastinum and subcutaneous emphysema also known as Hamman’s syndrome is a very rare complication of labor that is often related to the valsalva maneuver during the labor. In most case, Hamman’s syndrome is a self-limiting condition, rarely complicated unless there are underlying respiratory diseases. Chest X-ray can be a useful early diagnostic technique in severe clinical presentation. We report an uneventful pregnancy in a primigravid parturient, which was complicated in the late second stage of labor by the development of subcutaneous emphysema, pneumomediastinum, and mild pneumothorax. Spontaneous recovery occurred after four days of conservative management. This condition shows the major interest of labor analgesia especially locoregional techniques.