Amniotic fluid pulmonary embolism and COVID-19: Case report

Amniotic fluid embolism is a rare complication of peripartum. It is caused by the entry of fetal components into the maternal systemic circulation. There are 2 main types: typical; it presents with the triad of hemodynamic collapse, respiratory distress and disseminated intravascular coagulation typ...

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Bibliographic Details
Published in:Radiology case reports 2023-12, Vol.18 (12), p.4507-4509
Main Authors: Masmela Garcia, Karla Melissa, García Agudelo, Lorena, Duran Mayorga, Carlos Andrés, Gualteros Lara, César David, Velasco Castro, Julio César
Format: Article
Language:English
Subjects:
Amniotic fluid embolism
Blood coagulation
Case Report
COVID-19
Disseminated intravascular coagulation
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Summary:Amniotic fluid embolism is a rare complication of peripartum. It is caused by the entry of fetal components into the maternal systemic circulation. There are 2 main types: typical; it presents with the triad of hemodynamic collapse, respiratory distress and disseminated intravascular coagulation type coagulopathy, while atypical; disseminated intravascular coagulation does not occur. SARS CoV-2 infection causes coagulopathy due to the alteration of Virchow's triad and coagulation factors. We present the case of a 21-year-old pregnant woman who consulted for premature rupture of membranes, with an indication for cesarean section, and during surgery presented bradycardia, hypotension, and desaturation until cardiorespiratory arrest. An angiotomography showed amniotic fluid embolism associated with pulmonary edema, ruling out differential diagnoses associated with the disease, leaving as the only cause of the infection confirmed by COVID-19, which, it was inferred, was closely related to the immunological disorder suffered by the patient.
ISSN:1930-0433
1930-0433
DOI:10.1016/j.radcr.2023.09.059