International journal of obstetric anesthesia
-
Int J Obstet Anesth · Feb 2019
Letter Case ReportsPerioperative considerations for in utero repair of myelomeningocele.
-
Int J Obstet Anesth · Nov 2018
Case ReportsPostpartum hemoptysis as presenting sign of longstanding vasculitis.
We present the case of a 26-year-old postpartum patient who presented with an episode of desaturation and hemoptysis on postpartum day three after an uncomplicated spontaneous vaginal delivery. The patient came to our attention in the postpartum area after she experienced massive hemoptysis and we were called by the obstetric team. ⋯ Her intensive care unit course was complicated by acute respiratory distress syndrome, acute kidney injury and a pulmonary embolism, but she recovered well and was discharged on postpartum day 23. This report describes a rare case of medium vessel vasculitis diagnosed in the peripartum period, and describes the diagnostic dilemmas underlying making a rare diagnosis, and the difficulties initiating appropriate therapy in a postpartum patient.