Sudden Death Following Cesarean Section for Placenta Previa and Accreta

RASHID, None ATTYIA; Moir, Cameron L.; Butt, Janice

doi:10.1097/00000433-199403000-00008

Cited by 5 publications

(2 citation statements)

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“…Concomitant pulmonary and cerebral embolization has been occasionally described. Rashid et al [7] report on sudden death in a young woman following cesarean section for placenta previa and accreta. On autopsy, massive pulmonary embolism with trophoblastic tissue, and microthromboembolism of cerebral and pulmonary vessels were found.…”

Section: Discussionmentioning

confidence: 99%

Sudden Death because of Massive Pulmonary Thromboembolism and Concomitant Cerebrovascular Trophoblastic Embolism following Artificial Abortion

Habek¹,

Jančuljak

Habek

et al. 2005

Fetal Diagn Ther

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A rare case of sudden death due to cerebral embolization of trophoblastic tissue and concomitant massive pulmonary embolization following artificial abortion in a 42-year-old woman with poorly regulated hypertension and chronic smoking is described. Histopathological analysis showed syncytiotrophoblast cells, positive on hPL immunostaining, obstructing vascular lumina in the small perforating arteries irrigating the diencephalon. There was no trophoblast invasion of capillary walls. Severe perivascular edema and lymphocytic infiltration were observed. No trophoblastic cells were found in the pulmonary circulation.

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Section: Discussionmentioning

confidence: 99%

Sudden Death because of Massive Pulmonary Thromboembolism and Concomitant Cerebrovascular Trophoblastic Embolism following Artificial Abortion

Habek¹,

Jančuljak

Habek

et al. 2005

Fetal Diagn Ther

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“…period (2), toxemia (9), amniotic fluid embolism (9), traffic accident (11), and cesarean section (12,13), and only the eighth case was reported in a living but symptomatic patient who had continuous vaginal bleeding (10). Our case is the first report in which the pulmonary nodule was incidentally identified in an asymptomatic patient.…”

Section: Villotrophoblastic Pulmonary Nodule 307mentioning

confidence: 99%

Villotrophoblastic Pulmonary Nodule With Implantation Site Intermediate Trophoblasts After Induced Abortion

Song¹,

Jang²,

Kim³

2007

International Journal of Gynecological Pathology

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We describe a case of villotrophoblastic pulmonary nodule with a hitherto unrecognized implantation site intermediate trophoblasts (ISITs) in an asymptomatic 19-year-old woman, who had an induced abortion 1 month before the discovery of a pulmonary nodule. This 8-mm-sized nodule was incidentally identified on chest computed tomography during routine postoperative follow-up for osteosarcoma, for which she was treated with surgery and chemotherapy 3 years previously. The nodule was located in the subpleural lung parenchyma and was composed histologically of a few chorionic villi and trophoblasts surrounded by fibrinoid materials, with individually scattered intermediate trophoblasts at the periphery of the nodule. The intermediate trophoblasts were strongly immunopositive for cytokeratin, human placental lactogen, and Mel-CAM (CD146), but immunonegative for human chorionic gonadotropin and p63, characteristic features of ISITs. Our case indicates that villotrophoblastic pulmonary emboli have the potential to implant after migration from their original sites through the invasive property of ISITs.

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First-trimester diagnosis of placenta previa percreta by magnetic resonance imaging

Thorp¹,

Wells²,

Wiest³

et al. 1998

American Journal of Obstetrics and Gynecology

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Sudden Death Following Cesarean Section for Placenta Previa and Accreta

Cited by 5 publications

References 0 publications

Sudden Death because of Massive Pulmonary Thromboembolism and Concomitant Cerebrovascular Trophoblastic Embolism following Artificial Abortion

Sudden Death because of Massive Pulmonary Thromboembolism and Concomitant Cerebrovascular Trophoblastic Embolism following Artificial Abortion

Villotrophoblastic Pulmonary Nodule With Implantation Site Intermediate Trophoblasts After Induced Abortion

First-trimester diagnosis of placenta previa percreta by magnetic resonance imaging

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