title: [Massive pulmonary embolism during pregnancy treated with streptokinase and complicated by massive haemorrhage--a case report].
abstract: A case of a 27-year-old pregnant female (first trimester) is described. The patient was hospitalised due to pregnancy complications and immobilised for 3 weeks. At the end of this period patient's clinical condition rapidly deteriorated and she developed shock, followed by cardiac arrest. Echocardiography was consistent with acute pulmonary embolism and the patient received streptokinase. This treatment was complicated by a massive bleeding due to the rupture of the uterus. She underwent hysterectomy and recovered thereafter.
authors.affiliation: Oddział Wewnetrzny Szpitala Specjalistycznego im. H. Klimontowicza, Gorlice, Poland.
authors.forename: Piotr
authors.initials: P
authors.lastname: Kukla
authors.forename: Jarosław
authors.initials: J
authors.lastname: Borowicz
authors.forename: Kazimierz
authors.initials: K
authors.lastname: Szczuka
authors.forename: Barbara
authors.initials: B
authors.lastname: Malarczyk
authors.forename: Mariusz
authors.initials: M
authors.lastname: Janowski
authors.forename: Andrzej
authors.initials: A
authors.lastname: Plato
mesh_terms: D000328:Adult; D005260:Female; D005343:Fibrinolytic Agents / Q000008:administration & dosage / Q000009:adverse effects; D006801:Humans; D011247:Pregnancy; D011249:Pregnancy Complications, Cardiovascular / Q000188:drug therapy*; D011261:Pregnancy Trimester, First; D011655:Pulmonary Embolism / Q000188:drug therapy*; D013300:Streptokinase / Q000008:administration & dosage* / Q000009:adverse effects*; D014592:Uterine Hemorrhage / Q000139:chemically induced / Q000209:etiology*; D014597:Uterine Rupture / Q000150:complications*
chemical_list: D005343:Fibrinolytic Agents; D013300:Streptokinase