Koagulopatia ze zużycia jako wiodący objaw zatoru płynem owodniowym -opis przypadku

• Published in: Ginekologia polska Vol. 87; no. 2; pp. 153 - 156
• Main Authors: Koziołek, Agnieszka Helena, Gaca, Michał, Szymanowski, Krzysztof Szymanowski, Ziętek-Bartlewicz, Elżbieta
• Format: Journal Article
• Language: English; Polish
• Published: Poland 2016
• Subjects: Adult; Disseminated Intravascular Coagulation - diagnostic imaging; Disseminated Intravascular Coagulation - etiology; Disseminated Intravascular Coagulation - therapy; Embolism, Amniotic Fluid - diagnostic imaging; Embolism, Amniotic Fluid - etiology; Embolism, Amniotic Fluid - therapy; Female; Humans; Obstetric Labor Complications; Postpartum Hemorrhage - etiology; Pregnancy; Shock, Hemorrhagic - etiology; Shock, Hemorrhagic - therapy; perinatal hemorrhage; amniotic fluid embolism; consumptive coagulopathy; DIC
• ISSN: 0017-0011
• DOI: 10.17772/gp/57808

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.