Skip to main content

Main menu

  • Home
  • Current issue
  • ERJ Early View
  • Past issues
  • Authors/reviewers
    • Instructions for authors
    • Submit a manuscript
    • Open access
    • COVID-19 submission information
    • Peer reviewer login
  • Alerts
  • Podcasts
  • Subscriptions
  • ERS Publications
    • European Respiratory Journal
    • ERJ Open Research
    • European Respiratory Review
    • Breathe
    • ERS Books
    • ERS publications home

User menu

  • Log in
  • Subscribe
  • Contact Us
  • My Cart

Search

  • Advanced search
  • ERS Publications
    • European Respiratory Journal
    • ERJ Open Research
    • European Respiratory Review
    • Breathe
    • ERS Books
    • ERS publications home

Login

European Respiratory Society

Advanced Search

  • Home
  • Current issue
  • ERJ Early View
  • Past issues
  • Authors/reviewers
    • Instructions for authors
    • Submit a manuscript
    • Open access
    • COVID-19 submission information
    • Peer reviewer login
  • Alerts
  • Podcasts
  • Subscriptions

Idiopathic arteriovenous malformation (AVM) presenting in the 34th week of pregnancy

Artemios Dimitriou, Charoula Chadjikosta, George Minas, Nikos Koronakis, Andreas Georgiou
European Respiratory Journal 2016 48: PA3720; DOI: 10.1183/13993003.congress-2016.PA3720
Artemios Dimitriou
1Pulmonary, Nicosia General Hospital, Nicosia, Cyprus
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Charoula Chadjikosta
2Pulmonary, Nicosia General Hospital, Nicosia, Cyprus
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
George Minas
3Critical Care, Nicosia General Hospital, Nicosia, Cyprus
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Nikos Koronakis
4Critical Care, Nicosia General Hospital, Nicosia, Cyprus
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Andreas Georgiou
5Pulmonary Department, Nicosia General Hospital, Nicosia, Cyprus
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • Article
  • Figures & Data
  • Info & Metrics
Loading

Abstract

Background: Non Traumatic Hemothorax is a rare but grave cause of respiratory distress. AVMs increase in size and often present symptoms during Pregnancy.

Case Presentation: A healthy 31yr on her 34 week of pregnancy was admitted to the ER for acute pleuritic chest pain and orthopnea. The patient refused to undergo CT and was admitted with presumptive diagnosis of pulmonary embolism (PE).

Bedside Ultrasonography revealed a homogeneously echogenic effusion. CT Chest performed (fig 1). Pleural tap confirmed the diagnosis of hemothorax. Emergency C-section was performed with no complications. Chest drain insertion was followed by hypotension, quickly resolved with clamping of drain, vasopressors, and hemorrhagic shock treatment protocol. Exploratory Thoracotomy revealed a pulsing bleeding lesion of the associated lobe which was resected. Biopsy revealed Pulmonary AVM.

Figure
  • Download figure
  • Open in new tab
  • Download powerpoint

Figure 1.CT Chest: Large pleural effusion with high attenuation, passive atelectasis of left lung with a homogeneous, well-circumscribed, contrast enhancing lesion in the affected lung.

Discussion:

1.Pulmonary AVM is not uncommon, often presenting symptoms in pregnancy with chest symptoms mimicking PE.

2.Thoracic US can reliably help with Diagnosis

3.Hemodynamic collapse can follow chest drain insertion, so timing is vital.

  • Acute respiratory failure
  • Congenital lesion/malformation
  • Imaging
  • Copyright ©the authors 2016
Previous
Back to top
Vol 48 Issue suppl 60 Table of Contents
  • Table of Contents
  • Index by author
Email

Thank you for your interest in spreading the word on European Respiratory Society .

NOTE: We only request your email address so that the person you are recommending the page to knows that you wanted them to see it, and that it is not junk mail. We do not capture any email address.

Enter multiple addresses on separate lines or separate them with commas.
Idiopathic arteriovenous malformation (AVM) presenting in the 34th week of pregnancy
(Your Name) has sent you a message from European Respiratory Society
(Your Name) thought you would like to see the European Respiratory Society web site.
CAPTCHA
This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.
Citation Tools
Idiopathic arteriovenous malformation (AVM) presenting in the 34th week of pregnancy
Artemios Dimitriou, Charoula Chadjikosta, George Minas, Nikos Koronakis, Andreas Georgiou
European Respiratory Journal Sep 2016, 48 (suppl 60) PA3720; DOI: 10.1183/13993003.congress-2016.PA3720

Citation Manager Formats

  • BibTeX
  • Bookends
  • EasyBib
  • EndNote (tagged)
  • EndNote 8 (xml)
  • Medlars
  • Mendeley
  • Papers
  • RefWorks Tagged
  • Ref Manager
  • RIS
  • Zotero

Share
Idiopathic arteriovenous malformation (AVM) presenting in the 34th week of pregnancy
Artemios Dimitriou, Charoula Chadjikosta, George Minas, Nikos Koronakis, Andreas Georgiou
European Respiratory Journal Sep 2016, 48 (suppl 60) PA3720; DOI: 10.1183/13993003.congress-2016.PA3720
del.icio.us logo Digg logo Reddit logo Technorati logo Twitter logo CiteULike logo Connotea logo Facebook logo Google logo Mendeley logo

Jump To

  • Article
  • Figures & Data
  • Info & Metrics
  • Tweet Widget
  • Facebook Like
  • Google Plus One

More in this TOC Section

  • Effects of comorbidities on the CAT score: A population-based study
  • Serum alkaline phosphatase may play a role in the differential diagnosis of sarcoidosis and tuberculosis?
  • Clinical approach to pulmonary sarcoidosis
Show more 1.13 Clinical Problems - Other

Related Articles

Navigate

  • Home
  • Current issue
  • Archive

About the ERJ

  • Journal information
  • Editorial board
  • Reviewers
  • Press
  • Permissions and reprints
  • Advertising

The European Respiratory Society

  • Society home
  • myERS
  • Privacy policy
  • Accessibility

ERS publications

  • European Respiratory Journal
  • ERJ Open Research
  • European Respiratory Review
  • Breathe
  • ERS books online
  • ERS Bookshop

Help

  • Feedback

For authors

  • Instructions for authors
  • Publication ethics and malpractice
  • Submit a manuscript

For readers

  • Alerts
  • Subjects
  • Podcasts
  • RSS

Subscriptions

  • Accessing the ERS publications

Contact us

European Respiratory Society
442 Glossop Road
Sheffield S10 2PX
United Kingdom
Tel: +44 114 2672860
Email: journals@ersnet.org

ISSN

Print ISSN:  0903-1936
Online ISSN: 1399-3003

Copyright © 2022 by the European Respiratory Society