ANESTHESIOLOGY, cilt.110, sa.5, ss.1183-1184, 2009 (SCI-Expanded)
SUBCUTANEOUS emphysema (SE) with pneumomediastinum or pneumothoraces is a rare but potentially lethal complication of second-stage labor. This condition was first described as Hamman syndrome in 1945 and is thought to occur secondary to abnormally high intrathoracic pressure from the repeated forceful Valsalva maneuvers during parturition.(1,2) To our knowledge, Hamman syndrome has not been reported in or associated with eclampsia or parturients without active labor. We report a first case of SE and pneumothoraces presenting as facial-cervical swelling in an eclamptic patient undergoing cesarean delivery without active labor.