Med Bull Sisli Etfal Hosp. 2014; 48(3): 244-247 | DOI: 10.5350/SEMB.20140227042131

Presumed amniotic fluid embolism: case report

Günseli Özdemir¹, Arzu Koçbebek¹, Þerife Bilgin¹, Ayþe Hancý^2
1Þiþli Hamidiye Etfal Eðitim ve Araþtýrma Hastanesi, Kadýn Hastalýklarý ve Doðum Kliniði, Ýstanbul-Türkiye
²Þiþli Hamidiye Etfal Eðitim ve Araþtýrma Hastanesi, Anestezioloji ve Reanimasyon Kliniði, Ýstanbul-Türkiye

Amniotic fluid embolism, also referred to as anaphylactoid syndrome of pregnancy, is a rare obstetric emercency that may commonly manifest itself during pregnancy, delivery or immediate postpartum period. A case report of 24 year-old women, at 38 week’s gestation of her pregnancy who suffered probable amniotic fluid embolism at 12 h postpartum following caeseraen section under general anaesthesia, with the development of cardiopulmonary arrest and coagulopathy, is outlined. Based on a high index of suspicion, aggressive therapy was instituted immediately including critical care setting and she recovered completely. In this case report, we aimed to highlight the importance of early diagnosis and treatment for favourable outcome.

Keywords: Amniotic fluid embolism, hemorrhage, dissemine intravascular coagulation,cardiopulmonary arrest.

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Muhtemel amnion sývý embolisi: Olgu sunumu

Günseli Özdemir¹, Arzu Koçbebek¹, Þerife Bilgin¹, Ayþe Hancý^2
1Þiþli Hamidiye Etfal Eðitim ve Araþtýrma Hastanesi, Kadýn Hastalýklarý ve Doðum Kliniði, Ýstanbul-Türkiye
²Þiþli Hamidiye Etfal Eðitim ve Araþtýrma Hastanesi, Anestezioloji ve Reanimasyon Kliniði, Ýstanbul-Türkiye

Amnion sývý embolisi, sýklýkla gebelik, doðum veya doðum sonrasý erken dönemde ortaya çýkan gebeliðin anaflaktoid sendromu olarak tanýmlanan nadir obstetrik bir acildir. Genel anestezi altýnda sezaryen seksiyo sonrasý 12. saatte hemoraji, koagülopati ve kardiyopulmoner arrest geliþmesi üzerine muhtemel amnion sývý embolisi olarak deðerlendirilen 24 yaþýnda 38 haftalýk gebe kadýn olgusu sunuldu. Ciddi þüphe üzerine yoðun bakým þartlarýný da içeren medikal tedavi acil olarak baþlatýldý ve hastada tam þifa saðlandý. Bu olgu sunumunda baþarýlý sonuç için erken taný ve tedavinin önemini vurgulamayý amaçladýk.

Anahtar Kelimeler: Amnion sývý embolisi, hemoraji, dissemine intravasküler koagülasyon, kardiyopulmonerarrest.

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