Hemoptysis during pregnancy: a comprehensive review of literature and an unprecedented case report of oropharyngeal carcinoma

Ginekol Pol. 2023;94(6):491-499. doi: 10.5603/GP.a2022.0103. Epub 2022 Sep 27.

Abstract

Objectives: Hemoptysis in pregnancy is a very rare finding causing diagnostic and therapeutic difficulties. The case report of hemoptysis by a 29 years old patient in the 31st week of pregnancy is presented and discussed along with the diagnostic process and treatment provided.Upon pharyngeal cancer occurrence in a pregnant patient a multidisciplinary medical team performed appropriate treatment along with delivery of a healthy newborn at term. Patients and fetal conditions and outcomes were analyzed and compared to available literature in this newly created literature review.

Material and methods: After MEDLINE database analysis using formula "hemoptysis" AND "pregnancy" more than 125 results were found published during the period 2002-2022. Almost 30 papers about hemoptysis were found and included for full analysis.

Conclusions: The literature review offers a detailed description of previously reported incidents of hemoptysis in pregnancy to gain understanding of the etiology, differential diagnosis, available treatment and predicted future outcomes for both patient and fetus.

Keywords: hemoptysis; minor salivary gland carcinoma; oropharyngeal carcinoma; pregnancy; pseudohemoptysis.

Publication types

  • Review
  • Case Reports

MeSH terms

  • Adult
  • Female
  • Hemoptysis* / diagnosis
  • Hemoptysis* / etiology
  • Hemoptysis* / therapy
  • Humans
  • Infant, Newborn
  • Pregnancy