Masmela Garcia Karla Melissa, García Agudelo Lorena, Duran Mayorga Carlos Andrés, Gualteros Lara César David, Velasco Castro Julio César
Regional Hospital of the Orinoquia, Yopal, Colombia.
Radiol Case Rep. 2023 Oct 14;18(12):4507-4509. doi: 10.1016/j.radcr.2023.09.059. eCollection 2023 Dec.
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.
羊水栓塞是围产期一种罕见的并发症。它是由胎儿成分进入母体体循环引起的。主要有两种类型：典型型，表现为血流动力学崩溃、呼吸窘迫和弥散性血管内凝血型凝血病三联征；非典型型，不发生弥散性血管内凝血。严重急性呼吸综合征冠状病毒2（SARS-CoV-2）感染由于维勒三联征和凝血因子的改变而导致凝血病。我们报告一例21岁孕妇的病例，该孕妇因胎膜早破就诊，有剖宫产指征，手术期间出现心动过缓、低血压和血氧饱和度下降，直至心肺骤停。血管造影显示羊水栓塞合并肺水肿，排除了与该疾病相关的鉴别诊断，确诊感染为2019冠状病毒病（COVID-19），据推断，这与患者所患的免疫紊乱密切相关。
