Abstract

Acute pulmonary embolism (APE) is one of the most important preventable mortality causes during pregnancy. In this case report, a 24-week pregnant patient who were diagnosed with APE and who underwent thrombolytic treatment was discussed in the light of a literature review. The 27-year-old female patient, who was pregnant, applied to the emergency service with sudden shortness of breath and chest pain. Since the hemodynamic condition of the patient was unstable, no imaging could be carried out in the radiology unit. As a result of the right ventricular load symptoms detected in bedside Transthoracic Echocardiography (ECO), massive APE was diagnosed, and thrombolytic treatment was initiated. APE should be considered in patients who are admitted to emergency services with sudden shortness of breath and chest pain complaints. Patients who are excessively unstable for imaging in the radiology unit should be evaluated quickly with bedside transthoracic ECO in terms of massive embolism.

Highlights

  • Acute Pulmonary Embolism (APE) is approximately 5 times more common in pregnant women than in nonpregnant women of the same age group because of some physiological and anatomical changes

  • The purpose was to discuss a 24-week pregnant patient diagnosed with APE who underwent thrombolytic treatment in the light of literature data

  • It was learned that the patient, who had no diseases in her history, had a 24-week pregnancy; and as the gestational period proceeded, she had mild shortness of breath, palpitations and began to feel exhausted faster than before; in the last 2-3 days, she had sudden increase in shortness of breath accompanied by chest pain

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Summary

CASE REPORT

Acil Serviste Trombolitik Tedavi Uygulanan Gebe Hastada Massif Akut Pulmoner Emboli. 1-Karadeniz Technical University, Faculty of Medicine, Department of Emergency Medicine, Trabzon/TURKEY. 2- Rize State Hospital, Department of Emergency Medicine, Rize/TURKEY 3- İstanbul Haseki Training Research Hospital, Department of Emergency Medicine. Acil Serviste Trombolitik Tedavi Uygulanan Gebe Hastada Massif Akut Pulmoner Emboli. 1-Karadeniz Technical University, Faculty of Medicine, Department of Emergency Medicine, Trabzon/TURKEY. 2- Rize State Hospital, Department of Emergency Medicine, Rize/TURKEY 3- İstanbul Haseki Training Research Hospital, Department of Emergency Medicine.

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Serum Electrolyte Normal Levels
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