The patient was transferred to the intensive care unit (ICU), intubated, and ventilated, necessitating a vasopressor infusion. ![]() ![]() DIC was corrected with blood and blood products during this maneuver, and POCUS of the inferior vena cava and heart showed multiple small particles floating, thus confirming the diagnosis of AFE in this patient. Immediately, cardiopulmonary resuscitation started, and the team achieved a return of spontaneous circulation (ROSC) in 3 minutes. Immediately after delivery of the fetus, the patient had convulsions, cardiac arrest, and disseminated intravascular coagulopathy (DIC). She was gravida 3 para 2 and had regular antenatal check-ups, and she presented for her LSCS at 36 weeks of gestation. We report a case of AFE causing pulmonary and ovarian embolisms.Ĭase: A 34-year-old pregnant lady had an elective lower section cesarean section (LSCS) for transverse lying and placenta previa under combined spinal and epidural anesthesia. AFE causing multiple embolisms is not reported in the literature, nor is the use of point-of-care ultrasound (POCUS) in the diagnosis of AFE. The reported incidence of AFE after a cesarean section is around 19%, and after a normal delivery, it is 11%. The sudden entry of amniotic fluid into the maternal circulation causes a rapid and dramatic sequence of clinical events called AFE. ![]() Amniotic fluid embolism (AFE) is a peripartum complication with high mortality and morbidity. Introduction: Pregnant patients are at risk of several possible complications during the peripartum period.
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