Ozan KAHVECİ, Ahmet DEMİRCAN, Ayfer KELEŞ, Gülbin AYGENCEL, Fikret BİLDİK, Elif ÇALIDAĞ, Tülin KAHVECİ

Amniotic fluid embolism: A case report

Amniyon sıvı embolisi (ASE) nadir görülen ve tüm anne ölümlerinin %10'undan sorumlu olan bir sendromdur. Klinik ve laboratuar olarak bu sendromu düşündüren patognomonik bir bulgu yoktur. Tanı klinik ve destekleyici laboratuar bulgularına dayanılarak konur. Burada termde, spontan membrane rüptürü ve doğum eylemi ile acile gelen 32 yaşında bir bayan hastada gelişen akut embolik epizod sunulmuştur. Olgu ASE'nin tipik klinik bulgularını göstermektedir. Sonuçta olgu acil sezaryan operasyonuna alınmış; fakat anne ve bebek hayatını kaybetmiştir. Sonuç olarak ASE'si gebelikte çok korkulan ve zarar veren komplikasyonlardan biridir. Ne önceden bilinebilmektedir ne de önlenebilmektedir. Tedavisi ise sadece destekleyici tedavidir.

Amniyon sıvı embolisi: Olgu sunumu

Amniotic fluid embolism (AFE) is a rare occurrence, which accounts for about 10% of all maternal deaths. There is no single pathognomonic clinical or laboratory finding for this syndrome. Diagnosis is based on clinical presentation and supportive laboratory values. A case of acute embolic episode occurred during term labour in 32-year-old female patient with spontaneous rupture of membrane was presented. This case showed typical clinical findings of this syndrome. Caesarean section was performed immediately, but the baby and the mother died. In conclusion, AFE continues to be one of the most feared and devastating complications of pregnancy. It can be neither predicted nor prevented. The management of AFE is largely supportive.

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