Acute Pulmonary Edema After Large Molar Pregnancy Uterine Evacuation

Abstract

Cardiopulmonary complications have been observed after the evacuation of benign hydatidiform mole which can lead to substantial morbidity and mortality. We report a 30-years-old woman who came to our outpatient department of obstetrics and gynecology at 9 weeks gestational age with sonography which represented molar pregnancy. Evacuation of the mole was done under spinal anesthesia as an elective procedure. The patient had a complaint of dyspnea, 6 hours after evacuation. CXR showed some reticular opacity in the field of both lungs with increased Broncho vascular marking. CT angiography showed pulmonary edema with subsegmental atelectasis in the base of both lungs without any pattern of pulmonary thromboembolism. Pulmonary edema was regressed by administering frusemide and conservative management after 8 days of ICU admission. She was discharged on the 10th postoperative day in satisfactory and stable condition.

Keywords

• Molar pregnancy
• Gestational trophoblastic disease
• Pulmonary edema
• Trophoblastic embolism
• Cardiopulmonary symptoms
• Molar evacuation