Affordable Access

deepdyve-link
Publisher Website

An unusual case of peripartum pulmonary oedema.

Authors
  • Reddy, Yogesh N V
  • Sundaram, Varun
  • Stamler, Jonathan S
Type
Published Article
Journal
BMJ Case Reports
Publisher
BMJ
Publication Date
Jan 01, 2013
Volume
2013
Identifiers
DOI: 10.1136/bcr-2013-200150
PMID: 24072829
Source
Medline
License
Unknown

Abstract

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.

Report this publication

Statistics

Seen <100 times