Acute pulmonary edema after evacuation of molar pregnancy

ABSTRACT

Cardiopulmonary dysfunction has been observed after the removal of benign hydatidiform mole which can lead to substantial morbidity and mortality. We report a 20 year old woman who came to casualty with a gush of per vaginal bleeding; associated findings were hypotension, anemia and tachypnoea. Evacuation of the mole was done under general anesthesia as an emergency procedure. Immediately after evacuation she developed acute massive pulmonary edema that progressed to adult respiratory distress syndrome. In spite of extensive peri-operative management in the form of vasopressors and ventilatory support, mortality occurred after 12 hours post operatively