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 report a case of AFE during emergent Cesarean section at 25 weeks of gestation for high vaginal bleeding, caused by placenta praevia totally recovered, in a 36 years old woman having a history of two c-section and carring bichorial biamniotic twin pregnancy. 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 and disseminated intravascular coagulation (DIC).Thus, we report this case precisely and review pathophysiology, diagnosis, treatment of AFE by referring to up-to-date literatures.
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