Mol evakuasyonu sonrası trofoblastik pulmoner emboli: Olgu sunumu

Year 2020, Volume: 2 Issue: 1, 23 - 26, 30.03.2020

Demet Aydoğan Kırmızı , Emre Başer , Taylan Onat , Melike Demir Çaltekin , Ethem Serdar Yalvaç

Abstract

Pulmoner trofoblast hücre embolizasyonu normal/anormal gebeliklerde oluşabilen ve klinik belirtileri genellikle ilk 72 saat içinde destek tedavileri ile düzelen bir durumdur. Sunulan olgu, fazla trofoblastik yükün bir göstergesi olabilecek yüksek β-hCG değerleri ve büyük uterin cesameti olan, evakuasyon tedavisi sonrası 8. saatinde non-trombotik pulmoner trofoblast hücre embolisi gelişen ve multidisipliner yönetilerek destek tedavisi ile 4. günden sonra şikayetleri gerileyen literatürde az örneği olan, nadir bir olgudur.

Keywords

Molar gebelik, trofoblast, pulmoner emboli

TROPHOBLASTIC PULMONARY EMBOLIZATION AFTER MOLAR EVACUATION

Abstract

Pulmonary trophoblast cell embolization is a condition that can occur in normal/abnormal pregnancies. Clinical symptoms usually improve with supportive treatment within 72 hours. Here, we present a case who had high β-hCG values indicative of excessive trophoblastic burden, and who had a big uterus. The patient developed non-thrombotic pulmonary trophoblast cell embolism at 8th hour after the evacuation treatment. This is a rare case whose complaints regressed after the fourth day of supportive therapy with multidisciplinary management. 

Keywords

Molar pregnancy, Trophoblast, Pulmonary Embolization

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