Spontaneous Hemothorax during pregnancy: A case report.
Marzieh Zamaniyan1, Kaveh Jafari2, Saeed Kargar-Soleimanabad3
1Diabetes Research Center, Mazandaran University of Medical Sciences, Sari, Iran; Mazandaran Heart Center, Mazandaran University of Medical Sciences, Sari, Iran.
International Journal of Surgery Case Reports
|September 18, 2022
Summary
Spontaneous hemothorax, a rare pregnancy complication, can cause respiratory distress. Early evaluation of patients with arteriovenous malformations is crucial for managing this life-threatening condition.
Area of Science:
- Obstetrics and Gynecology
- Cardiology
- Radiology
Background:
- Spontaneous hemothorax is a rare, life-threatening condition.
- It is a primary cause of respiratory distress during pregnancy and postpartum.
- No evidence of post-traumatic injury is typically present.
Observation:
- A 34-year-old pregnant woman at 20 weeks gestation presented with dyspnea and left-sided epigastric pain.
- Imaging revealed a left-sided opacity displacing the heart rightward, suggesting a possible arteriovenous malformation.
- A cesarean section was performed after the patient stabilized.
Findings:
- Pregnancy can exacerbate arteriovenous malformations due to increased cardiac output and hypoxia.
- This case highlights a rare presentation of spontaneous hemothorax during pregnancy.
Implications:
- Patients with pulmonary arteriovenous malformations (PAVMs) planning pregnancy require thorough pre-conception evaluation.
- Management of fetal outcomes in cases of maternal hemothorax necessitates a multidisciplinary approach.
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