{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T16:38:02Z","timestamp":1787071082449,"version":"build-2736575974"},"reference-count":7,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"4","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2022,10]]},"abstract":"<jats:p>Pneumothorax is quite unusual to occur during or following cesarean section, as only six cases have been reported so far, and only one of them was bilateral. Here, we report a 19-year-old, previously healthy, non-smoking primigravida who underwent a cesarean section under general anesthesia, and whose oxygen saturation level quickly dropped to 81% following endotracheal intubation. Although an initial chest radiograph did not demonstrate pneumothorax, a CT scan performed on the following day showed the patient had developed bilateral pneumothorax. Chest tubes were inserted on both sides, and the patient was discharged on the sixth postoperative day in stable condition. This case underlines the need to include pneumothorax in the differential diagnosis when managing a patient with acute respiratory distress during cesarean section or in the immediate post-operative period.<\/jats:p>","DOI":"10.4103\/sja.sja_64_22","type":"journal-article","created":{"date-parts":[[2022,9,5]],"date-time":"2022-09-05T00:18:12Z","timestamp":1662337092000},"page":"466-468","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Bilateral pneumothorax in a parturient undergoing cesarean section under general anesthesia"],"prefix":"10.4103","volume":"16","author":[{"given":"Hisham","family":"Qassrawi","sequence":"first","affiliation":[{"name":"Jenin Government Hospital, Palestinian Ministry of Health, Jenin, Palestine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ameed","family":"Taher","sequence":"additional","affiliation":[{"name":"Jenin Government Hospital, Palestinian Ministry of Health, Jenin, Palestine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alaa Aldin","family":"Malhis","sequence":"additional","affiliation":[{"name":"Jenin Government Hospital, Palestinian Ministry of Health, Jenin, Palestine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hend","family":"Aburumh","sequence":"additional","affiliation":[{"name":"Jenin Government Hospital, Palestinian Ministry of Health, Jenin, Palestine"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2022,9,3]]},"reference":[{"key":"R1-20250925","doi-asserted-by":"crossref","first-page":"356","DOI":"10.1542\/pir.35.8.356","article-title":"Pneumothorax beyond the newborn period","volume":"35","author":"Benbow","year":"2014","journal-title":"Pediatr Rev"},{"key":"R2-20250925","doi-asserted-by":"crossref","first-page":"bcr2012008507","DOI":"10.1136\/bcr-2012-008507","article-title":"Spontaneous pneumothorax following caesarean section under spinal anaesthesia","volume":"2013","author":"Madan","year":"2013","journal-title":"BMJ Case Rep"},{"key":"R3-20250925","doi-asserted-by":"crossref","first-page":"bcr0220125724","DOI":"10.1136\/bcr.02.2012.5724","article-title":"Bilateral primary spontaneous pneumothoraces postcaesarean section\u2013another reason to avoid general anaesthesia in pregnancy","volume":"2012","author":"Aye","year":"2012","journal-title":"BMJ Case Rep"},{"key":"R4-20250925","doi-asserted-by":"crossref","first-page":"126","DOI":"10.4103\/0019-5049.151380","article-title":"Spontaneous pneumothorax in the immediate post-operative hour in a primigravida following emergency caesarean section under spinal anaesthesia","volume":"59","author":"Khan","year":"2015","journal-title":"Indian J Anaesth"},{"key":"R5-20250925","doi-asserted-by":"crossref","first-page":"249","DOI":"10.4065\/71.3.249","article-title":"Management of spontaneous pneumothorax during pregnancy: Case report and review of the literature","volume":"71","author":"VanWinter","year":"1996","journal-title":"Mayo Clin Proc"},{"key":"R6-20250925","doi-asserted-by":"crossref","first-page":"1173","DOI":"10.1097\/00000539-200005000-00032","article-title":"Tension pneumothorax in a parturient undergoing cesarean delivery","volume":"90","author":"Harris","year":"2000","journal-title":"Anesth Analg"},{"key":"R7-20250925","doi-asserted-by":"crossref","first-page":"224","DOI":"10.1007\/s00134-010-2079-y","article-title":"Sonographic diagnosis of pneumothorax","volume":"37","author":"Volpicelli","year":"2011","journal-title":"Intensive Care Med"}],"container-title":["Saudi Journal of Anaesthesia"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/sja.sja_64_22","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T15:41:13Z","timestamp":1787067673000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/sja.sja_64_22"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,9,3]]},"references-count":7,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2022]]}},"URL":"https:\/\/doi.org\/10.4103\/sja.sja_64_22","relation":{},"ISSN":["1658-354X","0975-3125"],"issn-type":[{"value":"1658-354X","type":"print"},{"value":"0975-3125","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,9,3]]},"assertion":[{"value":"2022-01-23","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2022-01-24","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}