Embolic event in the puerperium with tragic end

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Authors: M. Poláček
Authors‘ workplace: Gynekologicko-porodnické oddělení, Masarykova nemocnice, Rakovník, primář MUDr. R. Poláček
Published in: Ceska Gynekol 2019; 84(2): 145-148
Category: Case Report

Overview

Objective: To present a case of a patient with embolic event in the puerperium at the surgery for residual trophoblastic tissue.

Design: Case report.

Setting: Department of Obstertics and Gynaecology, Hospital Rakovník.

Case report: We present the 33-year-old second-graders case of three weeks of labor at 40th weeks, which was operated at our workplace for residual trophoblastic tissue. The gynecological surgery took place without complications, however, after the operation, breathing and circulation arrest. Thrombolysis was given for suspicion of embolization etiology. In spite of an intense urgent CPR and multidisciplinary collaboration, there is a failure in the life and death of the patient.

Conclusion: In presenting this serious case of an embolic event, the author want to emphasize the need for proper diagnosis, an indication of the surgical performance or the conservative procedure for placental remnants in the puerperium.

Keywords:

embolic event – maternal death

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