Embolism by the water of life

doi:N/A

eISSN: None / ISSN: None

Netharland Journal of Critical Care

2014, Volume 18, Issue 6 : 26-29

Article

Embolism by the water of life

Lopez Matta J.

Kamphuis M.M.

Alblas G.

de Jonge E.

van Westerloo D.J.

Abstract

A 33-year-old multiparous woman in the process of labour was admitted to our hospital after developing a cardiorespiratory arrest immediately after manual rupture of the membranes in a home setting. On arrival, she was quickly stabilised and approached from the very beginning in a multidisciplinary fashion, working through the differential diagnosis of a peripartum collapse resulting in the highly suggestive diagnosis of amniotic fluid embolism (AFE) complicated with disseminated intravascular coagulation (DIC). In this brief report we describe a case of peripartum cardiorespiratory collapse due to AFE, review the diagnostic and therapeutic considerations involved in this scenario with a special emphasis on the phenomenon of DIC. © 2014, Nederlandse Vereniging voor Intensive Care.

Keywords

Amniotic fluid embolism

Diffuse intravascular coagulation

Intensive care

Obstetrics and gynaecology

Shock

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