Open AccessConsumptive coagulopathy as a leading sign of amniotic fluid embolism – case report.
Author(s) -
Agnieszka Koziołek,
Michał Gaca,
Krzysztof Szymanowski,
Elżbieta Ziętek-Bartlewicz
Publication year - 2016
Publication title -
ginekologia polska
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.4
H-Index - 21
eISSN - 2543-6767
pISSN - 0017-0011
DOI - 10.17772/gp/57808
Subject(s) - amniotic fluid embolism , medicine , coagulopathy , consumptive coagulopathy , disseminated intravascular coagulation , shock (circulatory) , amniotic fluid , embolism , surgery , cardiology , pregnancy , fetus , genetics , biology
Amniotic fluid embolism is a rare and diagnostically challenging obstetric disease of high mortality rate. We present a case of a 33-year old parturient after vaginal birth, who presented with severe hemorrhagic shock with low platelet count and coagulopathy resistant to treatment with plasma, platelets and coagulation factors and despite of surgical management of bleeding. Laboratory findings revealed consumptive coagulopathy. Other symptoms included dyspnea and atelectatic changes on chest x-ray, together with augmentation of the heart with no proof of ventricular insufficiency in echocardiographic examination. The suspected reason of these alterations was amniotic fluid embolism. The patient survived and came back to her usual activity after 22 days of treatment.