Extensive pulmonary embolism presenting as severe adult respiratory distress syndrome after surgical resection of a cornual pregnancy.
A rare case of severe adult respiratory distress syndrome associated with a Po2 of 9 mm Hg after surgical resection of a cornual pregnancy at 10 weeks' gestation was treated successfully with positive end-expiratory pressure. The underlying cause, extensive pulmonary embolism, was subsequently revealed. The patient survived without residual brain damage. The possible causes of adult respiratory distress syndrome in pregnancy are discussed.
tenHoopen
D J
DJ
Department of Obstetrics and Gynecology, Strong Memorial Hospital, University of Rochester School of Medicine and Dentistry, NY 14642.
Sherer
D M
DM
Abramowicz
J S
JS
Papadakos
P J
PJ
D000328:Adult; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D011183:Postoperative Complications; D011247:Pregnancy; D011261:Pregnancy Trimester, First; D011271:Pregnancy, Ectopic / Q000601:surgery*; D011655:Pulmonary Embolism / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000209:etiology; D013902:Radiography, Thoracic; D012128:Respiratory Distress Syndrome / Q000175:diagnosis*