[Amniotic fluid embolism caused by uterine rupture with severe coagulopathy].
There is reported on a 35 years old woman, who was delivered of her third child. Six days after the expected day of delivery labour was introduced. On the end of the second stage an amniotic fluid infusion happened. The patient was transferred to the ward for intensive therapy following initial treatment. Within four hours she received 22 units of blood and 27 units of coagulo-active substance because of severe coagulation defect. After restoration of coagulability of blood hysterectomy had to follow owing to uterine rupture which in the first instance was overlooked. Woman and child survived.
D000328:Adult; D001803:Blood Transfusion; D003131:Combined Modality Therapy; D004619:Embolism, Amniotic Fluid / Q000175:diagnosis* / Q000628:therapy; D005260:Female; D006801:Humans; D007044:Hysterectomy; D007744:Obstetric Labor Complications / Q000175:diagnosis* / Q000628:therapy; D011247:Pregnancy; D014592:Uterine Hemorrhage / Q000175:diagnosis* / Q000628:therapy; D014597:Uterine Rupture / Q000175:diagnosis* / Q000628:therapy
Fruchwasserembolic infolge Uterusruptur mit schwerer Koagulopathie.