Abstract
Background: Spontaneous pneumothorax is a rare case during pregnancy. However, the condition of Hyperemesis Gravidarum during pregnancy is one of the risk factors for recurrent primary spontaneous pneumothorax.Case Description: A 28-year-old woman with G5P3013 gestational age 12-13 weeks with Hyperemesis Gravidarum had complaints of tightness and recurrent acute pleuritic chest pain. After a clinical and supporting examination using ultrasound, patients were diagnosed with recurrent primary spontaneous pneumothorax, and observational and symptomatic treatments were performed. The rupture of the bleb or the subpleura bulla is thought to be a pathological mechanism. Patients given birth vaginally without complications and complete resolution of the pneumothorax occurred.Conclusion: Recurrent pneumothorax in pregnant women with a history of hyperemesis gravidarum is rare. Observational and symptomatic treatment is the initial treatment that can be done.
Highlights
LATAR BELAKANGPneumotoraks merupakan istilah untuk mendeskripsikan terisinya ruang pleura oleh udara
Spontaneous pneumothorax is a rare case during pregnancy
patients were diagnosed with recurrent primary spontaneous pneumothorax
Summary
Pneumotoraks merupakan istilah untuk mendeskripsikan terisinya ruang pleura oleh udara. Pada laporan kasus dan tinjuan pustaka yang ditulis oleh Gupta dkk tahun 2013 disebutkan bahwa hanya terdapat 57 kasus PS pada kehamilan yang dilaporkan hingga tahun tersebut.[2] Berdasarkan atas laporan serial kasus yang ditulis oleh Wong dkk tahun 2006 mendapatkan bahwa sebagian besar kasus PS pada wanita hamil yang dilaporkan merupakan pneumotoraks berulang tanpa penyebab yang diketahui. Fakta tersebut dan prognosis PS yang bergantung pada kualitas penanganan menjadikan informasi mengenai patofisiologi hingga terapi PS pada ibu hamil merupakan sebuah urgensi.[5] Oleh karena itulah pada laporan kasus ini, kami mencoba untuk melaporkan kasus Pneumotoraks spontan primer berulang pada ibu hamil dengan usia kehamilan 12-13 minggu dan mengalami hiperemesis gravidarum dimana berfokus pada gambaran kasus yang terjadi
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