Fetal Distress as a Presenting Symptom of Acute Leukemia During Pregnancy
نویسندگان
چکیده
The diagnosis is complicated by overlapping disease and gestation-related symptoms. Here we describe a 37-year-old patient who was diagnosed at 26 weeks gestation with acute myelocytic leukemia which presented with shoulder and neck pains, elevated liver enzymes, thrombocytopenia and non-reassuring fetal heart rate required an emergency cesarean delivery. The maternal side of the placenta and the placental site on the endometrium were covered with small macroscopic hemorrhages. Given the lack of data in the literature regarding presenting symptoms of acute leukemia in pregnancy, we believe that this case report provides important clinical information for practitioners.
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