Tuberc Respir Dis.  2008 Jul;65(1):34-36. 10.4046/trd.2008.65.1.34.

A Case of Total Lung Collapse due to Hemoptysis in Pregnancy

• Cho JJ
• Ra SW
• Lee KH
• Lee JA
• Kang CH
• Gwon DI
• Oh YM

• KMID: 1478214
• DOI: http://doi.org/10.4046/trd.2008.65.1.34

Abstract

Pregnancy induces many physiologic changes, and it can cause hemoptysis in relation to the underlying or potential pulmonary diseases. Although hemoptysis is not a frequent event during pregnancy, a thorough search for its etiology and then immediate management should be initiated for a case of massive hemoptysis to avoid serious adverse effects on both the fetus and the mother. Most hemoptysis events during pregnancy are related to well known etiologies, but there are a few reported cases of hemoptysis in pregnant women who are without any underlying lung lesion. We report here on a case of a pregnant woman with total lung collapse due to hemoptysis, and a thorough search for the etiology after delivery could not reveal any etiology.

Keyword

Pregnancy; Hemoptysis; Lung collapse

MeSH Terms

Female
Fetus
Hemoptysis
Humans
Lung
Lung Diseases
Mothers
Pregnancy
Pregnant Women
Pulmonary Atelectasis

Figure

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  Figure 1 Total collapse of right lung due to hemoptysis in pregnant patient.

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  Figure 2 Tortuous right bronchial artery (black Arrow) making shunt (white arrow) to right pulmonary artery (arrowhead) was seen in right lower lung zone. Lesion was embolized with gelfoam through a microcatheter.

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  Figure 3 Bronchoscopic findings during hemoptysis and 3 weeks after delivery (A, B). Right main bronchus was obstructed by blood clot (A) which was removed by bronchoscopic suction (B). No evidence of blood or endobronchial lesion was observed after delivery (C).

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