Journal article
Presumed antepartum amniotic fluid embolism
Obstetrics and gynecology (New York. 1953), Vol.102(3), pp.493-495
09/2003
DOI: 10.1016/S0029-7844(03)00630-6
PMID: 12962930
Abstract
Amniotic fluid embolism is seldom recognized in nonperipartum patients. The pathophysiology is uncertain and diagnosis imprecise, making management after stabilization difficult.
A 37-year-old woman at 28 weeks’ gestation presented with signs and symptoms consistent with amniotic fluid embolism including disseminated intravascular coagulopathy. A ventilation-perfusion scan demonstrated unmatched perfusion defects, but other radiographic studies were negative; the patient was treated with heparin. Four days after presentation she had spontaneous rupture of membranes followed by hypoxemia, necessitating cesarean delivery. A pulmonary arteriogram after the operation showed multiple filling defects; the patient was discharged on warfarin.
Amniotic fluid embolism is a difficult diagnosis to make, at best. Anticoagulation may be a therapeutic option.
Details
- Title: Subtitle
- Presumed antepartum amniotic fluid embolism
- Creators
- Kristen J Kent - Roy J. and Lucille A. Carver College of MedicineBrian C Cooper - Roy J. and Lucille A. Carver College of MedicineKarl W Thomas - Roy J. and Lucille A. Carver College of MedicineFrank J Zlatnik - University of Iowa
- Resource Type
- Journal article
- Publication Details
- Obstetrics and gynecology (New York. 1953), Vol.102(3), pp.493-495
- Publisher
- Elsevier Inc
- DOI
- 10.1016/S0029-7844(03)00630-6
- PMID
- 12962930
- ISSN
- 0029-7844
- eISSN
- 1873-233X
- Language
- English
- Date published
- 09/2003
- Academic Unit
- Obstetrics and Gynecology
- Record Identifier
- 9984319965802771
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