First report of a case of negative-pressure pulmonary edema during pregnancy

Abstract

Abstract Negative-pressure pulmonary edema (NPPE) or postobstructive pulmonary edema (POPE) is a rare but life-threatening complication in the perioperative and critical care settings. In this study, we present the first case of NPPE in a pregnant woman. Case presentation A 39-year-old 31-week pregnant woman underwent transurethral lithotripsy. She had respiratory distress about 10 minutes after extubation. Chest imaging confirmed pulmonary edema. The patient was managed in the intensive care unit (ICU) with intravenous furosemide supplemental oxygen. Evaluations showed no heart failure, but laboratory tests confirmed the presence of primary hyperparathyroidism. She was discharged on 5th day without complication. Conclusion In this study, we reported the first case of NPPE in a pregnant woman. NPPE should be considered in differential diagnosis of respiratory distress during pregnancy.