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Case Reports
Amniotic fluid embolism after surgical trauma: two case reports and review of the literature.
- Christine Pluymakers, Annick De Weerdt, Yves Jacquemyn, Cecile Colpaert, Els Van de Poel, and Philippe G Jorens.
- Department of Critical Care Medicine, University Hospital of Antwerp, Belgium. Christine.Pluymakers@uza.be
- Resuscitation. 2007 Feb 1; 72 (2): 324-32.
AbstractAmniotic fluid embolism (AFE) is a relatively rare condition usually occurring during or shortly after pregnancy and is catastrophic in most cases. The classical description is a sudden onset of dyspnoea, cyanosis and hypotension out of proportion to the blood loss, followed quickly by cardiorespiratory arrest. Up to 20% of patients will have seizures and up to 40% will have consumptive coagulopathy. If the patient survives the initial phase, a non-cardiogenic pulmonary oedema will follow in up to 70% of all cases. We report on two cases of severe and near fatal amniotic fluid embolism during pregnancy. Surgical trauma, caused by a blow in the stomach and a surgical intervention, was considered to be the aetiology.
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