Maternal pulmonary congestion and pleural effusion after termination of pregnancy at first trimester in complete hydatidiform mole with coexistent fetus

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  • Kato Yuri
    Department of Obstetrics and Gynecology, University of Fukui Hospital Department of Obstetrics and Gynecology, Sugita Genpaku Memorial Obama Municipal Hospital
  • Kawamura Hiroshi
    Department of Obstetrics and Gynecology, University of Fukui Hospital
  • Shinagawa Akiko
    Department of Obstetrics and Gynecology, University of Fukui Hospital
  • Orisaka Makoto
    Department of Obstetrics and Gynecology, University of Fukui Hospital
  • Kurokawa Tetsuji
    Department of Obstetrics and Gynecology, University of Fukui Hospital
  • Hattori Yuka
    Department of Obstetrics and Gynecology, Sugita Genpaku Memorial Obama Municipal Hospital
  • Yoshida Yoshio
    Department of Obstetrics and Gynecology, University of Fukui Hospital

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Other Title
  • 人工妊娠中絶後に母体に肺うっ血及び胸水貯留を認めた胎児共存奇胎の1例

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Abstract

<p> We present a case of 37-year-old Japanese pregnant woman referred to our hospital with rapid increase of systemic edema. Transabdominal ultrasonography revealed complete hydatidiform mole with coexistent fetus（CHMCF）. Evacuation and curettage were performed at 11+0 weeks’ gestation because of developing hypertension and proteinuria, and thereafter, pulmonary congestion and bilateral pleural effusion with continuous oxygen desaturation was emerged. She responded well to treatments. After that, persistent gestational trophoblastic neoplasia was developed and she needed multiple regimens of chemotherapy. Even if termination of pregnancy was selected in CHMCF due to clinical sign as PE, close monitoring vital sign and physical findings of pregnant women for hemodynamic change before and after abortion is mandatory.</p>

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