Metastatic hydatidiform mole in lung and massive hemothorax : a case report
Session
Medicine and Nursing
Description
A 30 –year –old woman, nulliparious, accepted to Gynecologic Clinic because of planned operation of pelvic tumor. State after four-fold endometrial curettage done between several months. It is diagnosed as mola hydatidosa . Main signs and symptoms were severe generally appearance, slight hypotension, slight tachycardia, T-negative in V-2 and V-3 derivations, cold sweats, tachypnea , prostration, slight vaginal bleeding and severe anemia. Weak auscultatory sound in right chest and anechogenic appearance in ultrasound of right costo-phrenical sinus is confirmed with blood in pleural punction. Chest tube drainage evacuates 1000 ml of defibrinated blood and revealed continual fresh blood hemorrhage. Thoracic CT –scan reveal a great massive shadow with right compressive atelectasis of right lung. Urgent right thoracotomy solves massive clots and fresh hemorrhage. In lower right lobe it’s seen hemorrhagic tumor with dimension 3x 2 cm and one smaller subpleuraly-1 x 1 cm, both excised with wedge resection. After reexpanding of right lung she was turned into gynecologic ward. Serum level of human chorionic gonadotropine (hCG) values 2.40 IU/L. Histopathologically is confirmed metastatic hydatidiform mole in lung . After recurettage it’s started with chemotherapy according to protocol.
Keywords:
Massive hemothorax, Metastatic hydatidiform mole, Lung metastasis.
Proceedings Editor
Edmond Hajrizi
ISBN
978-9951-550-50-5
Location
UBT Kampus, Lipjan
Start Date
29-10-2022 12:00 AM
End Date
30-10-2022 12:00 AM
DOI
10.33107/ubt-ic.2022.154
Recommended Citation
Demaçi, Shqiptar; Luci, Lumturije Gashi; Kastrati, Eliza; Kolgeci, Nazmi; Kurshumliu, Fisnik; and Latifi, Sueda, "Metastatic hydatidiform mole in lung and massive hemothorax : a case report" (2022). UBT International Conference. 155.
https://knowledgecenter.ubt-uni.net/conference/2022/all-events/155
Metastatic hydatidiform mole in lung and massive hemothorax : a case report
UBT Kampus, Lipjan
A 30 –year –old woman, nulliparious, accepted to Gynecologic Clinic because of planned operation of pelvic tumor. State after four-fold endometrial curettage done between several months. It is diagnosed as mola hydatidosa . Main signs and symptoms were severe generally appearance, slight hypotension, slight tachycardia, T-negative in V-2 and V-3 derivations, cold sweats, tachypnea , prostration, slight vaginal bleeding and severe anemia. Weak auscultatory sound in right chest and anechogenic appearance in ultrasound of right costo-phrenical sinus is confirmed with blood in pleural punction. Chest tube drainage evacuates 1000 ml of defibrinated blood and revealed continual fresh blood hemorrhage. Thoracic CT –scan reveal a great massive shadow with right compressive atelectasis of right lung. Urgent right thoracotomy solves massive clots and fresh hemorrhage. In lower right lobe it’s seen hemorrhagic tumor with dimension 3x 2 cm and one smaller subpleuraly-1 x 1 cm, both excised with wedge resection. After reexpanding of right lung she was turned into gynecologic ward. Serum level of human chorionic gonadotropine (hCG) values 2.40 IU/L. Histopathologically is confirmed metastatic hydatidiform mole in lung . After recurettage it’s started with chemotherapy according to protocol.