Journal of South Asian Federation of Obstetrics and Gynaecology

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VOLUME 15 , ISSUE 6 ( November-December, 2023 ) > List of Articles


A Diagnostic Conundrum of Hemoptysis: Rare Presentation of Pulmonary Thromboembolism and Its Successful Management in Pregnancy

Aishwarya Pravin Agrawal, Prerna Kailashchand Gupta, Namrata Babasaheb Walke, Madhuri Alap Mehendale, Meenal Shailesh Sarmalkar

Keywords : Case report, Hypercoagulable state, Maternal mortality, Pulmonary thromboembolism in pregnancy, Venous thromboembolism

Citation Information : Agrawal AP, Gupta PK, Walke NB, Mehendale MA, Sarmalkar MS. A Diagnostic Conundrum of Hemoptysis: Rare Presentation of Pulmonary Thromboembolism and Its Successful Management in Pregnancy. J South Asian Feder Obs Gynae 2023; 15 (6):742-743.

DOI: 10.5005/jp-journals-10006-2323

License: CC BY-NC 4.0

Published Online: 04-12-2023

Copyright Statement:  Copyright © 2023; The Author(s).


Aim: This case report is aimed at studying the maternal and fetal outcomes in a case of pulmonary thromboembolism complicating pregnancy. Background: Pregnancy is a hypercoagulable state causing pulmonary thromboembolism to be one of the major causes of maternal morbidity and mortality. Case description: This is a case report of the successful management of a case of pulmonary infarct secondary to pulmonary thromboembolism in a primigravida with a rare presentation of repeated bouts of unexplained hemoptysis at 38 weeks gestation. Computed tomography of pulmonary arteries revealed a wedge-shaped infarct in the left lung lobe's lateral and posterolateral basal segment with a 5 mm thrombus in subsegmental branches of the left pulmonary artery. The patient was conservatively managed with the use of anticoagulant therapy and delivered a healthy fetus at term via a cesarean section. Anticoagulant therapy with low molecular weight heparin and subsequently by oral warfarin was continued for 3 months postpartum. Conclusion: Pulmonary thromboembolism presenting with hemoptysis is not quite common and hence requires a prompt diagnosis and treatment for a favorable maternal and fetal outcome as in our case. Clinical significance: Pulmonary thromboembolism can have deleterious effects that complicate pregnancy, causing significant maternal and perinatal morbidity and mortality. Hence, a multidisciplinary team approach becomes quintessential for its successful management in pregnancy.

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