Neumotórax primario espontáneo durante el embarazo: reporte de un caso y revisión de la literatura / Primary spontaneous pneumothorax during pregnancy: a case report and review of the literature

El neumotórax espontáneo en el embarazo es una causa extremadamente rara de disnea con menos de 100 casos reportados en la literatura. Una nulípara de 28 años con 39+4 semanas de gestación, acudió al Servicio de Urgencias por disnea intensa y dolor torácico pleurítico. La radiografía de tórax reveló un gran neumotórax izquierdo, con el pulmón colapsado. Se colocó un drenaje torácico y la reexpansión pulmonar fue incompleta. Por sospecha de macrosomía fetal, se realizó una cesárea bajo anestesia epidural. El posparto transcurrió sin incidentes. Aunque sea una condición muy rara, el neumotórax espontáneo debe descartarse en todas las mujeres embarazadas que presenten una disnea súbita y dolor torácico. Un elevado índice de sospecha es imprescindible para un abordaje oportuno de esta patología, evitando así complicaciones materno-fetales. Para un correcto diagnóstico y tratamiento, se requieren recomendaciones más sólidas y un enfoque multidisciplinario.(AU)

Spontaneous pneumothorax in pregnancy is an extremely rare cause of dyspnea with less than 100 cases reported in the literature. A 28-year-old primigravida at 39+4 weeks of gestation presented to the emergency department with sudden onset of dyspnea and pleuritic chest pain. A chest radiograph revealed a large, left-sided pneumothorax with a collapsed lung. A chest tube was placed with incomplete re-expansion of the lung. A cesarean section under epidural anesthesia was performed for suspected macrosomia. The postpartum was uneventful. Despite its rarity, spontaneous pneumothorax should be excluded in every pregnant woman presenting with sudden onset of dyspnea and chest pain. A heightened index of suspicion is essential for prompt management of this condition, avoiding adverse fetal and maternal outcomes. For a correct diagnosis and management, more solid recommendations and a multidisciplinary approach are needed.(AU)

Primary spontaneous pneumothorax during pregnancy: A case report and review of the literature.

Spontaneous pneumothorax in pregnancy is an extremely rare cause of dyspnea with less than 100 cases reported in the literature. A 28-year-old primigravida at 39+4 weeks of gestation presented to the emergency department with sudden onset of dyspnea and pleuritic chest pain. A chest radiograph revealed a large, left-sided pneumothorax with a collapsed lung. A chest tube was placed with incomplete re-expansion of the lung. A cesarean section under epidural anesthesia was performed for suspected macrosomia. The postpartum was uneventful. Despite its rarity, spontaneous pneumothorax should be excluded in every pregnant woman presenting with sudden onset of dyspnea and chest pain. A heightened index of suspicion is essential for prompt management of this condition, avoiding adverse fetal and maternal outcomes. For a correct diagnosis and management, more solid recommendations and a multidisciplinary approach are needed.