An unusual case of peripartum pulmonary oedema.

Published online

Journal Article

A previously healthy woman in her early 20s presented in week 38 of pregnancy with a 2-week history of haemoptysis, positional dyspnoea and an examination suggestive of pulmonary oedema. A chest CT showed a left lower lobe lung mass invading through the inferior pulmonary vein into the left atrium and abutting the posterior mitral leaflet. Pulmonary oedema consequent on left inferior pulmonary vein occlusion was initially restricted to the left lower lobe, but progressed to involve the contralateral lung following extension of the mass to the mitral orifice, resulting in functional mitral stenosis. A biopsy was positive for poorly differentiated spindle cell neoplasm. This is the first reported case of a pregnant patient with spindle cell neoplasm of lung and of a spindle neoplasm causing mitral stenosis, as well as the youngest known case of this disease.

Full Text

Duke Authors

Cited Authors

  • Reddy, YNV; Sundaram, V; Stamler, JS

Published Date

  • September 26, 2013

Published In

Volume / Issue

  • 2013 /

PubMed ID

  • 24072829

Pubmed Central ID

  • 24072829

Electronic International Standard Serial Number (EISSN)

  • 1757-790X

Digital Object Identifier (DOI)

  • 10.1136/bcr-2013-200150

Language

  • eng

Conference Location

  • England