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Volume 27, Issue 135, May 2023

A rare case of acute pulmonary embolism in a postoperative case of dysgerminoma in a young adolescent girl: Lesson learnt

Kamlesh Chaudhari¹, Apoorva Dave², Deepti Shrivatsava¹, Tanvi Chaurasia³

¹Professor, Department of Obstetrics and Gynaecology, Jawaharlal Nehru Medical College, Datta Meghe Institute of Higher Education and Research (Deemed to be University), Wardha, Maharashtra, India
²Assistant Professor, Department of Obstetrics and Gynaecology, Jawaharlal Nehru Medical College, Datta Meghe Institute of Higher Education and Research (Deemed to be University), Wardha, Maharashtra, India
³Junior Resident, Department of Obstetrics and Gynecology, Datta Meghe Institute of Medical Sciences, Wardha, Maharashtra, India

ABSTRACT

We present a rare case of pulmonary angiography evidence of pulmonary embolism in an operated case of dysgerminoma in a young adult. Malignant germ cell tumor of the ovary constitutes less than 10% of total ovarian tumors. In young girls malignant primitive germ cell tumour that is most prevalent is dysgerminoma, which has low potential to invade and spread and is treatable when diagnosed early. Thromboembolism in childhood and adolescent age group is not so common. Here, we discuss an unusual form of ovarian dysgerminoma diagnosed intraoperatively on frozen section with post-operative pulmonary embolism with coagulation parameters being normal post operatively. According to our knowledge, this is rarest case where post-operatively patient developed acute pulmonary embolism. We have also reviewed various articles on dysgerminoma and thromboembolism.

Keywords: Dysgerminoma, ovarian germ cell tumors, pulmonary thromboembolism