A Case of Amniotoc Fluid Embolism in Cervical Vesseles after Delivery.

Kim, Ji Young; Yang, Jeong In; Ryu, Hee Suk; Oh, Kie Suk; Joo, Hee Jae

Case Report

Korean Journal of Obstetrics & Gynecology 1997;40(7):1528-1531.
Published online January 1, 2001.

A Case of Amniotoc Fluid Embolism in Cervical Vesseles after Delivery.

Ji Young Kim, Jeong In Yang, Hee Suk Ryu, Kie Suk Oh, Hee Jae Joo

¹Department of Obstetrics and Gynecology, Ajou University School of Medicine, Suwon, Korea.
²Department of Pathology, Ajou University School of Medicine, Suwon, Korea.

Abstract

Ammiotic fluid embolism(AFE) is an often-devastating condition of pregnancy with high mortality. The diagnosis of amniotic fluid embolism is generally made postmortem and rests upon the morphological demonstration of amniotic fluid debris including fetal epithelial squames and hair in the pulmonary vasculature. We have made the diagnosis of amniotic fluid embolism by detection of amniotic fluid debris in cervical blood vessels ension with profuse postpartum hemorrhage and evidence of disseminated intravascular coagulation, cervical laceration after uneventful delivery. Amniotic fluid debris were only demonstrated in the blood vessels of cervical laceration site. We present a case of amniotic fluid embolism which was diagnosed at postpartum hysterectomy specimen via thorough histological examination.

Key Words: Amniotic fluid embolism, Cervical laceration