Published Online: 1 October 1985
Page Count: 5
Director, Southwestern Institute of Forensic Sciences, Dallas, TX
Forensic pathologist, Blodgett Memorial Medical Center, Department of Laboratory Medicine, S. E. Grand Rapids, MI
(Received 7 February 1985; accepted 5 March 1985)
A 16-year-old pregnant female presented to a hospital emergency room with vaginal bleeding and uterine cramping. She underwent a hysterotomy and curettage and, during the procedure, her pulse dropped from 130 to 30 beats/minute, her pO2 fell to 10 mm of mercury, and she could not be resuscitated. At autopsy, she was found to have massive pulmonary embolization of syncytiotrophoblast from a hydatidiform mole of the uterus. This is the sixth reported case of trophoblastic embolization from a hydratidiform mole ending in death. This fatal termination may occur after a period of respiratory symptoms and may occur regardless of the mode of treatment.
Paper ID: JFS11076J