title: [Amniotic fluid embolism: report of the successful outcome of a case with inaugural cardiac arrest and early DIVC complicated by hemoperitoneum of iatrogen origin and bleeding of an hepatic adenoma].
abstract: Amniotic fluid embolism is a relatively rare clinical entity and with difficult medical recognition. However, it is the second leading cause of maternal mortality. We report here the case of a 32-year-old patient who underwent elective caesarean section complicated by an amniotic fluid embolism with cardiac arrest. The presence of a major disseminated intravascular coagulation favored the occurrence of a retroperitoneal hematoma of iatrogenic origin on attempt of femoral venous catheterization and that of hemoperitoneum on bleeding of an hepatic adenoma. The diagnostic of amniotic fluid embolism was confirmed by the presence of amniotic cells in the bronchoalveolar lavage. The patient survived without sequelae.
authors.affiliation: Département d'anesthésie-réanimation, HIA Percy, 101, avenue Henri-Barbusse, BP 406, 92141 Clamart cedex, France. isabeth84@yahoo.fr
authors.forename: E
authors.initials: E
authors.lastname: Falzone
authors.forename: J-D
authors.initials: JD
authors.lastname: Ricard
authors.forename: F
authors.initials: F
authors.lastname: Pachy
authors.forename: L
authors.initials: L
authors.lastname: Mandelbrot
authors.forename: H
authors.initials: H
authors.lastname: Keïta
mesh_terms: D000236:Adenoma / Q000628:therapy*; D000328:Adult; D001992:Bronchoalveolar Lavage Fluid / Q000166:cytology; D002406:Catheterization, Peripheral; D002585:Cesarean Section; D004211:Disseminated Intravascular Coagulation / Q000150:complications* / Q000628:therapy; D004619:Embolism, Amniotic Fluid / Q000209:etiology* / Q000628:therapy; D005260:Female; D005268:Femoral Vein; D006323:Heart Arrest / Q000209:etiology* / Q000628:therapy; D006465:Hemoperitoneum / Q000150:complications / Q000628:therapy*; D006801:Humans; D007049:Iatrogenic Disease; D007231:Infant, Newborn; D007431:Intraoperative Complications / Q000628:therapy*; D008113:Liver Neoplasms / Q000628:therapy*; D011247:Pregnancy; D059285:Pregnancy, Twin; D012187:Retroperitoneal Space; D016896:Treatment Outcome