Sudden death from trophoblastic embolism in pregnancy.
A case of a 24-year-old multigravida, with dry cough, dyspnea, fatigue, and weight loss with normal foetal growth rate is reviewed. Upon admission the patient suddenly became tachycardic, tachypnoic, cyanotic, followed by a non-palpable peripheral pulse, and asystole unresponsive to resuscitation. The autopsy revealed massive pulmonary trophoblastic embolism, bilateral pregnancy luteoma, and accelerated placental maturation. Trophoblastic embolism should be taken into consideration whenever cardiorespiratory emergency develops during pregnancy.
Delmis
J
J
Department of Obstetrics and Gynaecology, University of Zagreb Medical School, Petrova 13, HR-10000, Zagreb, Croatia. jdjelmis@alf.tel.hr
Pfeifer
D
D
Ivanisevic
M
M
Forko
J I
JI
Hlupic
L
L
D000328:Adult; D003490:Cyanosis / Q000150:complications; D017809:Fatal Outcome; D005260:Female; D006801:Humans; D017563:Lung Diseases, Interstitial / Q000150:complications; D018311:Luteoma / Q000150:complications; D010051:Ovarian Neoplasms / Q000150:complications; D010920:Placenta / Q000473:pathology; D011247:Pregnancy; D011248:Pregnancy Complications; D011655:Pulmonary Embolism / Q000150:complications / Q000175:diagnosis* / Q000473:pathology; D014327:Trophoblasts / Q000473:pathology