• Ann Fr Anesth Reanim · Jun 2006

    Case Reports

    [Amniotic fluid embolism: successful evolution course of isolated disseminated intravascular coagulation and early biological diagnosis].

    • L Gamerre, G Tramoni, F Lhuillier, C Boisson, H-J Clement, and J-P Viale.
    • Département d'Anesthésie-Réanimation, Hôpital de la Croix-Rousse, 103 Grande Rue de la Croix-Rousse, 69317 Lyon Cedex 04, France.
    • Ann Fr Anesth Reanim. 2006 Jun 1;25(6):633-7.

    AbstractAmniotic embolism is a sudden, unexpected and devastating complication of pregnancy. The diagnosis is usually made on the basis of clinical presentation after excluding differential diagnosis or at autopsy in the event of death of the parturient. We need to develop simple, non-invasive, sensitive tests for a reliable and early diagnosis. We report the case of a 34-year-old woman, who presented soon after delivery, an isolated disseminated intravascular coagulation with severe haemorrhage, an haemostatic hysterectomy was required. A 3370 g child was delivered by caesarean section. The patient survived without sequelae. The diagnosis of amniotic embolism was established by the presence of amniotic cells in the maternal central venous blood as well as in the bronchoalveolar fluid.

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