Article Text

Download PDFPDF
Postpartum shoulder pain and shortness of breath
  1. Ina Dubin1,
  2. Yair Glick2,
  3. Amichai Schattner1,3
  1. 1 Department of Medicine, Laniado Hospital, Sanz Medical Centre, Netanya, Israel
  2. 2 Department of Imaging, Laniado Hospital, Sanz Medical Centre, Netanya, Israel
  3. 3 The Faculty of Medicine, Hebrew University Hadassah Medical School, Jerusalem, Israel
  1. Correspondence to Professor Amichai Schattner, Hebrew University and Hadassah Medical School, Jerusalem 91000, Israel; amischatt{at}

Statistics from

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.

A 29-year-old woman developed increasing right (Rt.) shoulder/chest pain and dyspnoea 16 hours after delivering a healthy baby. Neurofibromatosis type 1 (NF-1) had been diagnosed in childhood by cafe-au-lait macules, neurofibromas and a positive family history.

She appeared acutely ill with tachycardia (120/min), tachyponea (20/min) and hypoxaemia (88% oxygen saturation). Breath sounds were barely audible over the Rt. hemithorax which was dull on percussion. ECG showed sinus tachycardia. Chest X-ray revealed large Rt. pleural effusion (figure 1). Laboratory tests were non-contributory except for serum Na 133 mEq/L due to the syndrome of inappropriate antidiuretic hormone secretion. CT angiography revealed massive Rt. haemothorax and demonstrated active …

View Full Text


  • Contributors ID: diagnosed the patient and all authors treated the patient. YG: analysed the imaging studies. AS: prepared and submitted the manuscript which was seen and approved by ID and YG.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent for publication Obtained.

  • Provenance and peer review Not commissioned; internally peer reviewed.