Abstract
Amniotic fluid (AF) embolism is a rare but catastrophic complication of pregnancy. We present the first case where the debris was seen in the maternal uterine veins at the time of cesarean section. During a cesarean delivery performed for deteriorating fetal status and in conjunction with massive hydramnios; air bubbles and vernix were observed in the left uterine vein and in an area of Couvelaire appearance of the uterine fundus. As the patient was clinically stable and desired retained fertility, a decision was made to attempt to contain the debris in the uterine vasculature. The infundibulopelvic ligament and uterine arteries were ligated and the area of Couvelaire uterus was oversewn. With the exception of a mild laboratory coagulopathy, which required no specific treatment, the patient did well. The area of Couvelaire uterus is the likely portal for the debris seen in this patient's vasculature. Containment appears to have averted the AF embolism syndrome.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 491-493 |
| Number of pages | 3 |
| Journal | American Journal of Perinatology |
| Volume | 15 |
| Issue number | 8 |
| State | Published - Aug 1998 |
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Keywords
- Amniotic fluid embolism
ASJC Scopus subject areas
- Pediatrics, Perinatology, and Child Health
- Obstetrics and Gynecology
Cite this
Amniotic fluid embolism in progress : A management dilemma! / Gogola, Jon; Hankins, Gary.
In: American Journal of Perinatology, Vol. 15, No. 8, 08.1998, p. 491-493.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Amniotic fluid embolism in progress
T2 - A management dilemma!
AU - Gogola, Jon
AU - Hankins, Gary
PY - 1998/8
Y1 - 1998/8
N2 - Amniotic fluid (AF) embolism is a rare but catastrophic complication of pregnancy. We present the first case where the debris was seen in the maternal uterine veins at the time of cesarean section. During a cesarean delivery performed for deteriorating fetal status and in conjunction with massive hydramnios; air bubbles and vernix were observed in the left uterine vein and in an area of Couvelaire appearance of the uterine fundus. As the patient was clinically stable and desired retained fertility, a decision was made to attempt to contain the debris in the uterine vasculature. The infundibulopelvic ligament and uterine arteries were ligated and the area of Couvelaire uterus was oversewn. With the exception of a mild laboratory coagulopathy, which required no specific treatment, the patient did well. The area of Couvelaire uterus is the likely portal for the debris seen in this patient's vasculature. Containment appears to have averted the AF embolism syndrome.
AB - Amniotic fluid (AF) embolism is a rare but catastrophic complication of pregnancy. We present the first case where the debris was seen in the maternal uterine veins at the time of cesarean section. During a cesarean delivery performed for deteriorating fetal status and in conjunction with massive hydramnios; air bubbles and vernix were observed in the left uterine vein and in an area of Couvelaire appearance of the uterine fundus. As the patient was clinically stable and desired retained fertility, a decision was made to attempt to contain the debris in the uterine vasculature. The infundibulopelvic ligament and uterine arteries were ligated and the area of Couvelaire uterus was oversewn. With the exception of a mild laboratory coagulopathy, which required no specific treatment, the patient did well. The area of Couvelaire uterus is the likely portal for the debris seen in this patient's vasculature. Containment appears to have averted the AF embolism syndrome.
KW - Amniotic fluid embolism
UR - http://www.scopus.com/inward/record.url?scp=0031783446&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=0031783446&partnerID=8YFLogxK
M3 - Article
C2 - 9788648
AN - SCOPUS:0031783446
VL - 15
SP - 491
EP - 493
JO - American Journal of Perinatology
JF - American Journal of Perinatology
SN - 0735-1631
IS - 8
ER -