[Amniotic fluid embolism].
Amniotic fluid embolism (AFE) is a rare pathological syndrome, sometimes fatal that arises as an obstetric complication during vaginal delivery, caesarean, immediate postpartum or during pregnancy. It remains as an important cause of fetal and maternal morbidity and mortality. The authors present a clinical report of a young woman who developed an acute respiratory failure during labour demanding invasive mechanical ventilation and an urgent caesarean. In spite of early medical intensive therapy, hypoxemia was refractory and had a progressive worsening leading to multi-organ failure and ultimately to death. Diagnosis was confirmed through the identification of fetal material in the lumen of maternal pulmonary microcirculation.
Serviço de Pneumologia, Hospital Sousa Martins, ULS, Guarda, Portugal.
Carlos
C
António
Nelson
N
Marçal
Carlos
C
Lopes
Francisco
F
Tortosa
Pilar
P
Acevedo
Jorge
J
Monteiro
Filipe
F
Monteiro
Llurdes
L
Correia
Ganriela
G
Brum
A Bugalho
AB
De Almeida
D004619:Embolism, Amniotic Fluid / Q000175:diagnosis; D017809:Fatal Outcome; D005260:Female; D006801:Humans; D007744:Obstetric Labor Complications / Q000175:diagnosis; D011247:Pregnancy; D055815:Young Adult