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Irish Journal of Medical Science (1971 -)
Published in: Irish Journal of Medical Science (1971 -) 2/2012

01-06-2012 | Case Report

Postoperative repeated respiratory insufficiency and thyrotoxicosis in molar pregnancy

Authors: B. Cekic, S. Geze, H. Ulusoy, I. Coskun, E. Erturk

Published in: Irish Journal of Medical Science (1971 -) | Issue 2/2012

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Abstract

Following the removal of a hydatiform mole in a 34-year-old, 14-week pregnant patient, thyrotoxicosis and respiratory insufficiency attacks were twice unexpectedly repeated. The symptoms were resolved with the administration of plasmapheresis, antithyroid and β-blocker drugs and non-invasive mechanical ventilation; however, she was again operated due to prolonged elevated β-hCG.
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Shnider SM, Levinson G (1994) Anesthesia for obstetrics. In: Miller RD (ed) Anesthesia, 4th edn. Churchill Livingstone, New York, pp 2031–2076
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Bansal S, Pawar M (2002) Haemodynamic responses to laryngoscopy and intubation in patients with pregnancy-induced hypertension: effect of intravenous esmolol with or without lidocaine. Int J Obstet Anesth 11:4–8. doi:10.​1054/​ijoa.​2001.​0918 PubMedCrossRef
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Erturk E, Bostan H, Geze S et al (2007) Total intravenous anesthesia for evacuation of a hydatidiform mole and termination of pregnancy in a patient with thyrotoxicosis. Int J Obstet Anesth (in press)
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Twiggs LB, Morrow CP, Schlaerth JB (1979) Acute pulmonary complications of molar pregnancy. Am J Obstet Gynecol 135:189–194PubMed
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Rosen T, Sutin K, Carreno CA et al (2001) Central hemodynamic monitoring in a woman with acute respiratory insufficiency after evacuation of a complete molar pregnancy. J Reprod Med 46:916–922PubMed
Metadata
Title
Postoperative repeated respiratory insufficiency and thyrotoxicosis in molar pregnancy
Authors
B. Cekic
S. Geze
H. Ulusoy
I. Coskun
E. Erturk
Publication date
01-06-2012
Publisher
Springer-Verlag
Published in
Irish Journal of Medical Science (1971 -) / Issue 2/2012
Print ISSN: 0021-1265
Electronic ISSN: 1863-4362
DOI
https://doi.org/10.1007/s11845-009-0328-2

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Keynote webinar | Spotlight on medication adherence

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WHO estimates that half of all patients worldwide are non-adherent to their prescribed medication. The consequences of poor adherence can be catastrophic, on both the individual and population level.

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