Venous thromboembolism in obstetric practice: clinical case report
Govoruha I.T.^1, Yakovleva E.B.^1, Dzhodzhua T.V.^1, Vustenko V.V.1, Burda A.A.<sup>2

1</sup> Donetsk National Medical University named after M. Gorky, Ukraine
² Donetsk Republican Center of protection of maternity and childhood, Ukraine

Pulmonary embolism (PE) takes the first place among difficult diseases with high risk of untimely diagnosis. It happens due to big variety of clinical symptoms (from "dumb" embolism to acute cardiovascular insufficiency). The paper describes a case report of PE successful treatment in obstetric practice. Routinely the patient had cesarean section, full-term alive girl was born (3400 g, Apgar score 7/8 points). Simple hysterectomy with right appendages and left fallopian tube was performed due to ongoing blood loss more than 1000 ml and inflammatory changes of fallopian tubes. On day 13 the patient at home lost consciousness several times and noted chest pain and dry cough. BP was 80/50 mm Hg., body temperature - 33С. A year earlier, the patient was admitted to neurosurgical department due to intracerebral hematoma of parasellar area on the left on the stage of reverse development, but refused from surgical treatment.
The paper presents complaints, anamnesis, examination results, treatment regimen and disease dynamics.

Key words: pulmonary embolism, puerpera, puerperal thromboembolism, hysterectomy, intracerebral hematoma.
For citation: Govoruha I.T., Yakovleva E.B., Dzhodzhua T.V. et al. Venous thromboembolism in obstetric practice: clinical case report // RMJ. 2017. № 2. P. 136–139.