Sudden death due to an invasive mole in a young primigravida: Precipitous presentation masquerading the natural manner
| Autor: | Sreenivas Madireddi, Sunil Kumar Khanna, Shramana Mandal, Mohit Chauhan, Chittaranjan Behera |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
Hemoptysis
medicine.medical_specialty Lung Neoplasms Adolescent Shock Hemorrhagic Sudden death Young primigravida Death Sudden 03 medical and health sciences 0302 clinical medicine Pregnancy Internal medicine Mole Humans Medicine Pulmonary metastasis 030219 obstetrics & reproductive medicine Hydatidiform Mole Invasive business.industry Health Policy medicine.disease Issues ethics and legal aspects 030220 oncology & carcinogenesis Shock (circulatory) Uterine Neoplasms Cardiology Female medicine.symptom Presentation (obstetrics) business Complication Law |
| Zdroj: | Medicine, Science and the Law. 58:189-193 |
| ISSN: | 2042-1818 0025-8024 |
| DOI: | 10.1177/0025802418786120 |
| Popis: | Pulmonary metastasis is a well-known complication of an invasive mole. However, sudden death due to haemoptysis resulting from a metastatic invasive mole is extremely rare. We report the sudden unexpected death of an 18-year-old primigravida following a molar pregnancy. The death event was complicated within a few days of presentation by a clinically unsuspected mole invading the lung vasculature with associated widespread metastatic calcifications in the liver and brain. Death was due to haemorrhagic shock as a result of massive haemoptysis resulting from the invasive mole metastasising to the pulmonary vasculature. This was substantiated with a post-mortem computed tomography and gross and histopathological findings at autopsy. This case highlights the need for a high index of suspicion about potentially life-threatening pulmonary metastasis in women with trophoblastic diseases. |
| Databáze: | OpenAIRE |
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