[Massive pulmonary embolism during pregnancy treated with streptokinase and complicated by massive haemorrhage--a case report].
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.
Kukla
Piotr
P
Oddział Wewnetrzny Szpitala Specjalistycznego im. H. Klimontowicza, Gorlice, Poland.
Borowicz
Jarosław
J
Szczuka
Kazimierz
K
Malarczyk
Barbara
B
Janowski
Mariusz
M
Plato
Andrzej
A
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*
D005343:Fibrinolytic Agents; D013300:Streptokinase