Læknablaðið - Jan 2019, Page 21

LÆKNAblaðið 2019/105 21
S J Ú K R A T I L F E L L I
1. Shields T, LoCicero W, Ponn J, Rusch RB VW, ed. General
Thoracic Surgery. 6th Edition. Lippincott Williams &
Wilkins, Fíladelfíu 2005.
2. Guðbjartsson T, Tómasdóttir GF, Björnsson J, Torfason B.
Sjálfkrafa loftbrjóst. - Yfirlitsgrein. Læknablaðið 2007; 93:
415-24.
3. Bense L, Eklund G, Wiman LG. Smoking and the increased
risk of contracting spontaneous pneumothorax. Chest
1987; 92: 1009-12.
4. Rim T, Bae JS, Yuk YS. Life-Threatening Simultaneous
Bilateral Spontaneous Tension Pneumothorax - A case
report -. Korean J Thorac Cardiovasc Surg 2011; 44: 253-6.
5. Brettel HF. Acupuncture as a cause of death (author’s
transl). MMW Munch Med Wochenschr 1981; 123: 97-8.
6. Oskarsson P, Walker CA, Leigh-Smith S. Bilateral pneu-
mothoraces following acupuncture. BMJ Case Rep 2017.
7. Wright RS, Kupperman JL, Liebhaber MI. Bilateral tension
pneumothoraces after acupuncture. West J Med 1991; 154:
102-3.
8. Barnes PM, Powell-Griner E. Interview H. Complementary
and Alternative Medicine Use Among Adults : United
States 2002. 2004; (343).
9. Clarke TC, Black LI, Stussman BJ, Barnes PM, Nahin RL.
Trends in the use of complementary health approaches
among adults: United States, 2002-2012. Natl Health Stat
Report 2015; 79: 1-16.
10. Ljósmæðravaktin - dagdeild. hss.is/index.php/skolaheil-
sugaesla/item/364-ljosmaedhravaktin-dagdeild. - júlí 2018.
11. Boelig RC, Barton SJ, Saccone G, Kelly AJ, Edwards SJ,
Berghella V. Interventions for treating hyperemesis gravi-
darum. Cochr Datab Syst Rev - maí 2016.
12. Smith C, Crowther C, Beilby J. Acupuncture to treat
nausea and vomiting in early pregnancy: a randomized
controlled trial. Birth 2002; 29: 1-9.
13. Knight B, Mudge C, Openshaw S, White A, Hart A. Effect
of acupuncture on nausea of pregnancy: a randomized,
controlled trial. Obstet Gynecol 2001; 97: 184-8.
14. Matthews A, Haas DM, O’Mathúna DP, Dowswell T.
Interventions for nausea and vomiting in early pregnancy.
Cochr Datab Syst Rev - september 2015.
15. Ernst E, White AR. Prospective studies of the safety of acu-
puncture: a systematic review. Am J Med 2001; 110: 481-5.
16. Lao L, Hamilton GR, Fu J, Berman BM. Is acupuncture
safe? A systematic review of case reports. Altern Ther
Health Med 2003; 9: 72-83.
17. Melchart D, Weidenhammer W, Streng A, Reitmayr S,
Hoppe A, Ernst E, et al. Prospective investigation of
adverse effects of acupuncture in 97 733 patients. Arch
Intern Med 2004; 164: 104-5.
18. Park J, Sohn Y, White AR, Lee H. The safety of acupuncture
during pregnancy: a systematic review. Acupunct Med
2014; 32: 257-66.
Heimildir
Barst til blaðsins 18. ágúst 2018, samþykkt til birtingar 19. nóvember 2018.
Atli Steinn Valgarðsson1
Tómas Guðbjartsson2
A woman in her thirties, 15 weeks pregnant, underwent acupuncture
therapy because of pregnancy-related nausea and vomiting. Several
hours later she experienced shortness of breath and therefore came
to the emergency room. Physical examination revealed tachypnea
and reduced breath sounds bilaterally but normal oxygen saturation
and blood pressure. Chest X-ray showed bilateral subtotal pneumo-
thoraces. Chest tubes were inserted into both pleural cavities and
the patient recovered successfully and was discharged in good
health 3 days after admission. This case report emphasizes the risks
of acupuncture to the chest cavity that in this case resulted in bi -
l ateral pneumothoraces, a condition that can become life threaten-
ing in this case to both mother and fetus.
Bilateral pneumothoraces in a pregnant woman
following acupuncture - a case report
ENGLISH SUMMARY
1Department of Surgery, Landspitali University Hospital, 2Cardiothoracic Surgery, Landspitali University Hospital.
Key words: Pneumothorax, bilateral, acupuncture, traumatic, chest tube.
Correspondence: Atli Steinn Valgarðsson, atlisv@simnet.is