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  • Title: Chest pain and dyspnoea in a young primiparous woman following prolonged labour at a remote Australian community health centre.
    Author: Mohd Hashim MA, Linton T, Heraganahally S.
    Journal: Rural Remote Health; 2019 May; 19(2):4615. PubMed ID: 31100986.
    Abstract:
    Reported here is a rare respiratory complication in a young primiparous woman in a remote community hospital in the Northern Territory, Australia. A Caucasian primiparous woman aged 23 years presented with chest pain following a very prolonged second stage of labour. On clinical examination a crunching and crackling sound was heard over the precordium, synchronous with the heartbeat (Hamman's sign). A chest radiograph confirmed the presence of pneumomediastinum. Complete resolution of symptoms and signs was achieved with supportive management.
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