A case of amniotic fluid embolism successfully treated by multidisciplinary treatment

BACKGROUND: Amniotic fluid embolism (AFE) is a life-threatening obstetric emergency. Because the maternal mortality associated with AFE is very high, early recognition and prompt treatment are important for improving the prognosis. We report a case of amniotic fluid embolism successfully treated by...

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Autores principales: Kinishi, Yuki, Ootaki, Chiyo, Iritakenishi, Takeshi, Fujino, Yuji
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer Berlin Heidelberg 2019
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6967009/
https://www.ncbi.nlm.nih.gov/pubmed/32026080
http://dx.doi.org/10.1186/s40981-019-0296-0
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author Kinishi, Yuki
Ootaki, Chiyo
Iritakenishi, Takeshi
Fujino, Yuji
author_facet Kinishi, Yuki
Ootaki, Chiyo
Iritakenishi, Takeshi
Fujino, Yuji
author_sort Kinishi, Yuki
collection PubMed
description BACKGROUND: Amniotic fluid embolism (AFE) is a life-threatening obstetric emergency. Because the maternal mortality associated with AFE is very high, early recognition and prompt treatment are important for improving the prognosis. We report a case of amniotic fluid embolism successfully treated by multidisciplinary treatment. CASE PRESENTATION: A 39-year-old woman with fetal congenital heart anomaly and polyhydramnios was scheduled for induction of delivery at 37 weeks of gestation with labor epidural analgesia. Uncontrollable bleeding occurred 30 min after vaginal delivery. Based on the clinical diagnosis of AFE, massive blood transfusion, insertion of an aortic occlusion balloon catheter, and hysterectomy was performed. Total blood loss was 12,000 mL. The diagnosis of AFE was confirmed by pathological examination. She was discharged with no complications. CONCLUSION: We report a case of AFE who were rescued by prompt diagnosis and treatment.
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spelling pubmed-69670092020-02-04 A case of amniotic fluid embolism successfully treated by multidisciplinary treatment Kinishi, Yuki Ootaki, Chiyo Iritakenishi, Takeshi Fujino, Yuji JA Clin Rep Case Report BACKGROUND: Amniotic fluid embolism (AFE) is a life-threatening obstetric emergency. Because the maternal mortality associated with AFE is very high, early recognition and prompt treatment are important for improving the prognosis. We report a case of amniotic fluid embolism successfully treated by multidisciplinary treatment. CASE PRESENTATION: A 39-year-old woman with fetal congenital heart anomaly and polyhydramnios was scheduled for induction of delivery at 37 weeks of gestation with labor epidural analgesia. Uncontrollable bleeding occurred 30 min after vaginal delivery. Based on the clinical diagnosis of AFE, massive blood transfusion, insertion of an aortic occlusion balloon catheter, and hysterectomy was performed. Total blood loss was 12,000 mL. The diagnosis of AFE was confirmed by pathological examination. She was discharged with no complications. CONCLUSION: We report a case of AFE who were rescued by prompt diagnosis and treatment. Springer Berlin Heidelberg 2019-11-28 /pmc/articles/PMC6967009/ /pubmed/32026080 http://dx.doi.org/10.1186/s40981-019-0296-0 Text en © The Author(s) 2019 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.
spellingShingle Case Report
Kinishi, Yuki
Ootaki, Chiyo
Iritakenishi, Takeshi
Fujino, Yuji
A case of amniotic fluid embolism successfully treated by multidisciplinary treatment
title A case of amniotic fluid embolism successfully treated by multidisciplinary treatment
title_full A case of amniotic fluid embolism successfully treated by multidisciplinary treatment
title_fullStr A case of amniotic fluid embolism successfully treated by multidisciplinary treatment
title_full_unstemmed A case of amniotic fluid embolism successfully treated by multidisciplinary treatment
title_short A case of amniotic fluid embolism successfully treated by multidisciplinary treatment
title_sort case of amniotic fluid embolism successfully treated by multidisciplinary treatment
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6967009/
https://www.ncbi.nlm.nih.gov/pubmed/32026080
http://dx.doi.org/10.1186/s40981-019-0296-0
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