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Amniotic fluid embolism that took place during an emergent Cesarean section -A case report-.

Research paper by Jung Hyang JH Lee, Hyeon Jeong HJ Yang, Ji-Hyoung JH Kim, Su-Yeon SY Lee, Hyun Jue HJ Gill, Byeong-Kuk BK Kim, Min Gu MG Kim

Indexed on: 03 Feb '11Published on: 03 Feb '11Published in: Korean journal of anesthesiology



Abstract

Amniotic fluid embolism (AFE) is a rare but fatal obstetric emergency, characterized by sudden cardiovascular collapse, dyspnea or respiratory arrest and altered mentality, disseminated intravascular coagulation (DIC). It can lead to severe maternal morbidity and mortality, but the prediction of its occurrence and treatment are very difficult. We experienced a case of AFE during emergent Cesarean section in a 40(+6) weeks healthy pregnant woman, age 33. Sudden dyspnea, hypotension, signs of pulmonary edema and DIC were developed during Cesarean section, and cardiac arrest followed after these events. The course of these events was so rapid and catastrophic, which was consistent with AFE. Thus, we report this case precisely and review pathophysiology, diagnosis, treatment of AFE by referring to up-to-date literatures.