title: Acute Pulmonary Embolism after Cesarean Section.
abstract: Pregnancy is a well-known state of hypercoagubality, increasing the risk of venous thromboembolism (VTE). It is more common with cesarean delivery than vaginal delivery. Pulmonary Embolism (PE) is under diagnosed during pregnancy and postpartum period as majority of signs and symptoms of PE are non-specific. We describe a case of 35-yearold obese female who suffered a syncopal attack following caesarean delivery and was diagnosed to have pulmonary embolism. A high index of suspicion is required for the timely diagnosis and treatment of PE as most of the signs and symptoms of PE are nonspecific. It is important to consider VTE prophylaxis especially in patients with risk factors.
authors.affiliation: Institute of Medicine, Tribhuvan University and Teaching Hospital, Kathmandu, Nepal.
authors.forename: S
authors.initials: S
authors.lastname: Pandey
authors.affiliation: Department of Gynaecologist and Obstetrician, Tribhuvan University and Teaching Hospital, Kathmandu, Nepal.
authors.forename: J
authors.initials: J
authors.lastname: Sharma
authors.affiliation: Department of Gynaecologist and Obstetrician, Tribhuvan University and Teaching Hospital, Kathmandu, Nepal.
authors.forename: B L
authors.initials: BL
authors.lastname: Manandhar
authors.affiliation: Meridian Clinic, Kathmandu, Nepal.
authors.forename: A
authors.initials: A
authors.lastname: Adhikari
mesh_terms: D000328:Adult; D000925:Anticoagulants / Q000627:therapeutic use; D002585:Cesarean Section; D003952:Diagnostic Imaging; D005260:Female; D006801:Humans; D009765:Obesity / Q000150:complications; D011247:Pregnancy; D011655:Pulmonary Embolism / Q000175:diagnosis* / Q000188:drug therapy / Q000209:etiology*; D013575:Syncope / Q000209:etiology; D014859:Warfarin / Q000627:therapeutic use
chemical_list: D000925:Anticoagulants; D014859:Warfarin
keywords: Pregnancy; pulmonary embolism; syncope.