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Heterotopic pregnancy and amniotic embolism: a case report.
BMC Pregnancy Childbirth
November 2024
Department of Tocogynecology, Federal University of Paraná, Curitiba, Paraná, Brazil.
Background: Heterotopic pregnancy and amniotic embolism are rare conditions that can be challenging to diagnose. To date, there are no cases of heterotopic pregnancy associated with amniotic embolism described in the literature. Therefore, we report the case of a pancreatic heterotopic pregnancy, which led to amniotic embolism and an unfavorable maternal outcome.
View Article and Find Full Text PDFAn Unusual Presentation of an Amniotic Fluid Embolism: Fetal Bradycardia As the First Sign.
Cureus
August 2024
Anesthesiology and Perioperative Care, UCI Health, Orange, USA.
Article Synopsis
- * In a case study, fetal distress—specifically bradycardia—was observed before any maternal symptoms, indicating that fetal complications can occur independently of the mother's health.
- * The patient, a 34-year-old woman at full term, experienced seizures and cardiac arrest during an emergency cesarean delivery for fetal distress, leading to immediate interventions, stabilization, and recovery in the surgical intensive care unit.
Peripartum Uterine Clostridial Myonecrosis: A Report of Two Fatal Cases.
WMJ
July 2024
Department of Obstetrics and Gynecology, University of Washington, Seattle, Washington.
Article Synopsis
- Uterine clostridial myonecrosis is a rare but deadly infection, highlighted by two cases of maternal mortality linked to Clostridium bacteria during childbirth and medication abortion.
- The first case involved a 30-year-old woman with septic shock after labor complications, while the second case involved an adolescent who developed septic shock post-abortion, with both patients dying shortly after hospital admission.
- Timely diagnosis and treatment are critical, requiring quick identification of symptoms and immediate surgical action, such as hysterectomy, along with antibiotics to improve survival chances and prevent fatal outcomes.
BODY STALK ANOMALY: CLINICAL AND HISTOPATHOLOGIC FINDINGS OF THIS RARE ANOMALY IN A NIGERIAN NEWBORN.
Ann Ib Postgrad Med
April 2024
Division of Paediatric Surgery, Department of Surgery, University College Hospital, Ibadan.
Introduction: Body stalk anomaly (BSA) is a rare and severe congenital malformation in which the exact pathophysiology is still unknown. The possible causes of body stalk anomaly include early amnion rupture with direct mechanical pressure and amniotic bands, vascular disruption of the early embryo, or an abnormality in the germinal disk.
Case Presentation: We report a case of sonologically delayed diagnosis of BSA which was confirmed post-delivery following histopathological examination and we reviewed relevant literature regarding this phenomenon.
Amniotic fluid embolism rescued using venoarterial extracorporeal membrane oxygenation without initial anticoagulation: A case report and literature review.
Medicine (Baltimore)
May 2024
Department of Anesthesiology and Intensive Care Medicine, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan.
Article Synopsis
- Amniotic fluid embolism (AFE) is a serious condition that can cause respiratory and circulatory failure during pregnancy, complicating treatment with issues like bleeding tendencies due to disseminated intravascular coagulation (DIC).
- A 39-year-old patient with AFE underwent emergency cesarean section and required massive blood transfusions; when she developed critical respiratory and circulatory failure, venoarterial extracorporeal membrane oxygenation (VA-ECMO) was implemented without initial anticoagulation.
- The patient's condition stabilized after five days on VA-ECMO, allowing her to be weaned off the machine and ultimately discharged home in good health, highlighting the importance of managing bleeding tendencies effectively in such cases.
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