Malignant Lymphoma in Pregnancy Presenting with Severe Dyspnea- A Case Report

2004 
While dyspnea is commonly observed during pregnancy, the presence of a disproportionately severe symptom may imply a serious complication, such as status asthmaticus, foreign body impaction, tumor obstruction, pulmonary embolism, infection, or heart dysfunction. We report a rare case of a 26-year-old primigravida at 34 weeks' gestation complicated with malignant lymphoma presenting as severe dyspnea and orthopnea. The initial investigation included chest X-ray and chest ultrasound. The management was a cesarean section followed by chemotherapy. We stress the importance of a differential diagnosis with any unexplained dyspnea in pregnancy. We also show the usefulness and versatility of chest ultrasound when dealing with unfavorable patient conditions.
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