Tramoni G, Valentin S, Robert MO, Sergeant MV, Branche P, Duperret S, Clement HJ, Lopez F, Boisson C, Audra P, Rudigoz RC, Viale JP. Amniotic fluid embolism during caesarean section.
Int J Obstet Anesth 2004;
13:271-4. [PMID:
15477060 DOI:
10.1016/j.ijoa.2004.03.002]
[Citation(s) in RCA: 13] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 03/01/2004] [Indexed: 11/17/2022]
Abstract
Amniotic fluid embolism occurs rarely but is a leading cause of maternal mortality. A high index of clinical suspicion is necessary to make an early diagnosis to reduce morbidity and mortality. We report a non-fatal case of amniotic fluid embolism occurring during a caesarean section, with special emphasis on the mode of development and diagnosis. The initial presentation of this syndrome was a coagulopathy, followed by the usual complications of massive bleeding. Although non-specific, the diagnosis of amniotic fluid embolism was supported by the observation of amniotic fluid in the central venous blood as well as in the broncho-alveolar fluid.
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