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CASE REPORT
Year : 2011  |  Volume : 5  |  Issue : 2  |  Page : 227-230

Amniotic fluid embolism: A diagnostic dilemma


1 Department of Anaesthesia and Intensive Care, GianSagar Medical College and Hospital, Ram Nagar, Banur, Patiala, Punjab, India
2 Department of Obstetrics and Gynecology, Govt. Medical College and Hospital, Chandigarh, India

Correspondence Address:
Ashish Kulshrestha
H.No.401/GH-18, Sector-5, Mansa Devi Complex, Panchkula, Haryana
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0259-1162.94789

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Amniotic fluid embolism (AFE) is a rare obstetric catastrophe with an incidence of 7.7 per 100 000 deliveries and mortality as high as 60% to 80%. We describe a case of perioperative cardiac arrest in a young parturient undergoing an emergent cesarean section. Just after delivery of live healthy male baby, patient developed disseminated intravascular coagulation not responding to resuscitation with fluids and blood products. Her autopsy revealed edematous lungs with amniotic fluid debris within pulmonary vessels thus establishing the diagnosis of AFE. Amniotic fluid embolism is life threatening and difficult to predict or prevent condition, which should be always be kept in mind in a parturient with sudden cardiovascular collapse, so that resuscitation commences immediately, as early intervention is essential for a positive outcome.


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