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Case Reports
. 2022 Apr 26;14(4):e24490.
doi: 10.7759/cureus.24490. eCollection 2022 Apr.

Amniotic Fluid Embolism After First-Trimester Abortion

Subrat Panda  1 , Ananya Das  1 , Nalini Sharma  1 , Rituparna Das  1 , Dr Vinayak Jante  1
Affiliations
Case Reports

Amniotic Fluid Embolism After First-Trimester Abortion

Subrat Panda et al. Cureus. .

Abstract

Amniotic fluid embolism (AFE) may be a rare event in pregnancy, especially after a first-trimester medical termination of pregnancy (MTP). A 35-year-old G3P2L2 came to our outpatient department at six weeks of pregnancy for medical termination of pregnancy and bilateral tubal ligation. After around one hour of surgery, she developed respiratory distress with abdominal distension, hypotension, tachycardia and tachypnoea. On laparotomy, we found ascitic fluid, bowels with petechia, and oozing all over the wounds. Finally, within 24 hours of surgery, she expired. Strong clinical suspicion of AFE should prompt a multidisciplinary team including anaesthesia, respiratory therapy, critical care, and maternal-foetal medicine to be involved in the ongoing care of women with AFE.

Keywords: amniotic fluid embolism; anaemia; dic; first trimester mtp; respiratory distress.

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Conflict of interest statement

The authors have declared that no competing interests exist.

Figures

Figure 1
Figure 1. Ultrasonography image showing early intrauterine pregnancy
See this image and copyright information in PMC

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