[Fatal amnioinfusion with previous choriocarcinoma in a parturient woman].
The case of 36-year-old tercipare is described who developed choriocharcinoma in a previous pregnancy. During the first term labour the patient developed cardiac arrest, so reanimation and sectio cesarea was performed. A male new-born was delivered in good condition, but even after intensive therapy and reanimation occurred death of parturient woman with picture of disseminate intravascular coagulopathia (DIK). On autopsy and on histology there was no sign of malignant disease, so it was not possible to connect previous choricarcinoma with amniotic fluid embolism. Maybe was place of choriocarcinoma "locus minoris resistentiae" which later resulted with failure in placentation what was hard to prove. On autopsy we found embolia of lung with a microthrombosis of terminal circulation with punctiformis bleeding in mucous, what stands for DIK.
Hrgović
Z
Z
Universitätsfrauenklinik Osijek J. J. Strossmeyer Universität.
Bukovic
D
D
Mrcela
M
M
Hrgović
I
I
Siebzehnrübl
E
E
Karelovic
D
D
D000328:Adult; D002585:Cesarean Section; D002822:Choriocarcinoma / Q000175:diagnosis*; D004211:Disseminated Intravascular Coagulation; D017809:Fatal Outcome; D005260:Female; D006801:Humans; D007231:Infant, Newborn; D008297:Male; D011247:Pregnancy; D011252:Pregnancy Complications, Neoplastic / Q000175:diagnosis; D014594:Uterine Neoplasms / Q000175:diagnosis*