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Case Report

Amniotic Fluid Embolism with Aspiration of Gastric Contents: Report of an Unusual Association

Shivraj N. Kanthikar, Vasaikar Maya Suresh, Sisodia Shantilal M., Shejwal Deepak Kishor

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Indian Journal of Forensic Medicine and Pathology 10(2):p 111-116, April - June 2017. | DOI: http://dx.doi.org/10.21088/ijfmp.0974.3383.10217.22

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Timeline

Received : February 10, 2017         Accepted : February 23, 2017          Published : June 30, 2017

Abstract

Amniotic fluid embolism (AFE), an exceptional, disastrous, complication of pregnancy may occur in association with aspiration of gastric contents, one of its clinical mimics. Histologic confirmation of particulate components of amniotic fluid such as fetal squamous cells, lanugo hair, mucin and debris in pulmonary microvasculature is the foundation of diagnosis and presence of partially digested vegetative material with acute inflammatory changes in terminal bronchioles is a telltale sign of aspiration of particulate gastric content. We report a case of amniotic fluid embolism with aspiration of gastric contents in a 32 year preeclamptic, anemic patient that occurred after induction and augmentation of labor with a vaginal administration of misoprostol and artificial rupture of fetal membranes respectively. These episodes culminated in death of mother and female fetus during labor.

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Attribution-Non-commercial 4.0 International (CC BY-NC 4.0)

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Received Accepted Published
February 10, 2017 February 23, 2017 June 30, 2017
DOI: http://dx.doi.org/10.21088/ijfmp.0974.3383.10217.22

Keywords

Amniotic Fluid EmbolismMaternal MortalitAspirationGastric Contents

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Received February 10, 2017
Accepted February 23, 2017
Published June 30, 2017

licence

Attribution-Non-commercial 4.0 International (CC BY-NC 4.0)

This license enables reusers to distribute, remix, adapt, and build upon the material in any medium or format for noncommercial purposes only, and only so long as attribution is given to the creator. 



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