- CASE FILE
Late 20’s, high risk pregnancy, diagnosed with Pulmonary Embolism by Two defects in right lung.
ABOUT THIS CASE FILE
Diagnosed with a Pulmonary Embolism due to Two defects in my right lung (Superior and Anterior) at 8weeks pregnant. Before becoming pregnant I went to the ER several times for symptoms of chest pain, shortness of breath, and left leg pain. My Oxygen levels were taken which, were fine and Chest X-Ray always displayed clear. A DVT was taken to check for blood clots in my leg but despite the redness, swelling and Varicose Veins none were found. Despite expressing concerns of possible PE because those three factors were ruled out I was repeatedly discharged home. During first few weeks pregnancy I experienced extreme Morning sickness and went to the hospital for dehydration. Following a week later I could barely stand without feeling like I was going to fall down. I had developed swelling where the IV was placed a week before in the ER. I returned back to the hospital and was admitted for thrombolitis and low Leukocytes at 8weeks pregnant. I requested more testing because all of my symptoms were displaying a Pulmonary Embolism. With hesitant Doctors due to my pregnancy, a Perfusion scan was done which showed 2 defects in my right lung (superior and anyerior); something that a Chest X-Ray couldn’t detect. I was told that i’d have to take Enoxaparin 80mg twice a day for the duration of my pregnancy & 6weeks after. 2 months later my dizziness has stopped but I still experience Chest pain when laughing really hard or walking at the pace I was used to walking or even laying on my left side. I can not keep up a steady conversation without feeling short of breath even though my Oxygen levels are always at 98 or higher. I am now in my 2nd trimester of pregnancy and was told I could go into cardiac arrest while giving birth or hemmorhage. I have appointments with my Ob every 3weeks who has told me I could give birth naturally which is concerning because I still have chest pains and shortness of breath. I also see a high risk OB to ensure my baby is okay. I have seen a Hematologist who has told me testing cannot be done until I have discontinued the use of Enoxaparin to determine if my PE could have been prevented or not. The swelling in my leg is continuing to grow with redness and becoming more painful due to the varicose veins growing.Before becoming pregnant I was also seeing a Doctor about a lump above my left knee. For years it was misdiagnosed as a popliteal cyst until after my DVT was done and found no fluid. An MRI was done which expressed possible Peripheral nerve sheath damage or Myoxma. Further testing was needed but was not done after becoming pregnant. My physician was also not sure if that could have been causing the swelling and pain in my lower leg. The Drs are not sure what could have caused the PE although I strongly believe it is due to pain and swelling in my left leg. I continuously went to the er because of the pain in my leg. I have 4 months remaining for my pregnancy. I was told at 36 weeks Enoxaparin will be discontinued and switch to Heparin for child birth. I am already a mother of 1. I hope to make it through this to see my children grow.