open access

Vol 87, No 2 (2016)
ARTICLES
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Consumptive coagulopathy as a leading sign of amniotic fluid embolism – case report.

Agnieszka Helena Koziołek, Michał Gaca, Krzysztof Szymanowski Szymanowski, Elżbieta Ziętek - Bartlewicz
DOI: 10.17772/gp/57808
·
Pubmed: 27306294
·
Ginekol Pol 2016;87(2):153-156.

open access

Vol 87, No 2 (2016)
ARTICLES

Abstract

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.

Abstract

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.
Get Citation

Keywords

amniotic fluid embolism, DIC, consumptive coagulopathy, perinatal hemorrhage

About this article
Title

Consumptive coagulopathy as a leading sign of amniotic fluid embolism – case report.

Journal

Ginekologia Polska

Issue

Vol 87, No 2 (2016)

Pages

153-156

DOI

10.17772/gp/57808

Pubmed

27306294

Bibliographic record

Ginekol Pol 2016;87(2):153-156.

Keywords

amniotic fluid embolism
DIC
consumptive coagulopathy
perinatal hemorrhage

Authors

Agnieszka Helena Koziołek
Michał Gaca
Krzysztof Szymanowski Szymanowski
Elżbieta Ziętek - Bartlewicz

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