Haemothorax in a Pregnant Woman Secondary to Rupture of a Pulmonary Arteriovenous Malformation

  • Melissa van den Bulck Services des Urgences, CHC Clinique MontLégia, Liège, Belgium
  • Claude Berenger Ngah Service des Urgences, CHR de Huy, Huy, Belgium
  • Hyppolyte Ntula Services des Urgences, CHC Clinique MontLégia, Liège, Belgium
  • Yilmaz Gorur Service de Radiologie, Clinique André Renard, Herstal, Belgium
  • Benoît Cardos Service de Département des Sciences de la Santé Publique, Université de Liège, Liège, Belgium
  • Denis Brisbois Services de Radiologie, CHC Clinique MontLégia, Liège, Belgium
  • Noel Lorenzo Villalba Service de Médecine Interne, Diabète et Maladies Métaboliques, Hôpitaux Universitaires de Strasbourg, Strasbourg, France
  • Deeba Ali Services des Urgences, CHC Clinique MontLégia, Liège, Belgium

Keywords

Pregnancy, hemothorax, pulmonary arteriovenous malformation

Abstract

Pulmonary arteriovenous malformations (PAVMs) are abnormal communications between the arteries and veins of the pulmonary vasculature leading to a right-to-left shunt. We report the case of a pregnant patient who presented with chest pain revealing a haemothorax secondary to the rupture of an arteriovenous malformation. The diagnosis was made during arteriography after simultaneous performance of an urgent caesarean section and thoracic drainage.

VIEW THE ENTIRE ARTICLE

References

  • Shovlin CL. Pulmonary arteriovenous malformations. Am J Resp Crit Care Med 2014;190(11):1217–1228.
  • McDonald J, Pyeritz RE. Hereditary hemorrhagic telangiectasia. GeneReviews® [internet], 2017.
  • Anin SR, Ogunnoiki W, Sabharwal T, Harrison-Phipps K. Pulmonary arteriovenous malformation unmasked in pregnancy: a case report. Obstet Med 2013;6(4):179–181.
  • Sahni G. Chest pain syndromes in pregnancy. Cardiol Clin 2012;30(3):343–367.
  • Shovlin CL, Sodhi V, McCarthy A, Lasjaunias P, Jackson JE, Sheppard MN. Estimates of maternal risks of pregnancy for women with hereditary haemorrhagic telangiectasia (Osler–Weber–Rendu syndrome): suggested approach for obstetric services. BJOG 2008;115(9):1108–1115.
  • Ratnapalan S, Bona N, Chandra K, Koren G. Physicians' perceptions of teratogenic risk associated with radiography and CT during early pregnancy. Am J Roentgenol 2004;182(5):1107–1109.
  • Toppenberg KS, Hill DA, Miller DP. Safety of radiographic imaging during pregnancy. Am Fam Physician 1999;59(7):1813.
  • Jain C. ACOG Committee Opinion No. 723: guidelines for diagnostic imaging during pregnancy and lactation. Obstet Gynecol 2019;133(1):186.
  • Lowe SA. Diagnostic radiography in pregnancy: risks and reality. Aust N Z J Obstet Gynaecol 2004;44(3):191–196.
  • Wu Z, Lin J, Yang W, Jiang N, Huang N, Clavijo LC. Evaluation of percutaneous transcatheter embolization for pulmonary arteriovenous malformations. BMC Pulm Med 2021;21(1):1–10.
  • Trerotola SO, Pyeritz RE. PAVM embolization: an update. Am J Roentgenol 2010;195(4):837–845.
  • Hill AJ, Martinello C, Pacheco LD, Vadhera RB, Jain SK, Walser E. Multiple embolizations of pulmonary arteriovenous malformations during pregnancy. Case Rep Perinat Med 2014;3(2):87–90.
  • Di Guardo F, Lo Presti V, Costanzo G, Zambrotta E, Di Gregorio LM, Basile A, et al. Pulmonary arteriovenous malformations (PAVMs) and pregnancy: a rare case of hemothorax and review of the literature. Case Rep Obstet Gynecol 2019;2019:8165791.
  • Gershon AS, Faughnan ME, Chon KS, Pugash RA, Clark JA, Bohan MJ, et al. Transcatheter embolotherapy of maternal pulmonary arteriovenous malformations during pregnancy. Chest 2001;119(2):470–477.
  • Wang HLC, Zhang JH, How CH. Emergency video-assisted thoracic surgery for ruptured pulmonary arteriovenous malformation-related hemothorax in a pregnant woman: a case report. J Med Case Rep 2018;12(1):1–4.
  • Wong ASW, Cheung GWY, Manlulu AV, Wan I, Chu MC, Yu SCh, et al. Ruptured pulmonary arteriovenous malformation during pregnancy. Acta Obstet Gynecol Scand 2006;85(10):1273–1275.
  • Published: 2022-09-23

    Issue: 2022: LATEST ONLINE (view)

    Section: Articles

    How to cite:
    1.
    van den Bulck M, Ngah CB, Ntula H, Gorur Y, Cardos B, Brisbois D, Lorenzo Villalba N, Ali D. Haemothorax in a Pregnant Woman Secondary to Rupture of a Pulmonary Arteriovenous Malformation. EJCRIM 2022;doi:10.12890/2022_003549.

    Most read articles by the same author(s)

    1 2 > >>