Postpartum Pulmonary Embolism in a Grand Multiparous: A Case Report.

disseminated intravascular coagulation pregnancy puerperium pulmonary embolism venous thromboembolism

Journal

Cureus
ISSN: 2168-8184
Titre abrégé: Cureus
Pays: United States
ID NLM: 101596737

Informations de publication

Date de publication:
May 2023
Historique:
accepted: 17 05 2023
medline: 28 6 2023
pubmed: 28 6 2023
entrez: 28 6 2023
Statut: epublish

Résumé

A 38-year-old grand multiparous pregnant woman in the United Arab Emirates presented to a secondary hospital in active labor at 38 weeks and two days of pregnancy. She visited the antenatal clinic just once during her entire pregnancy. Antenatally, her venous thromboembolism (VTE) risk assessment score was 2, and she was not started on thromboprophylaxis. Postnatally, she was due to receive a dose of low molecular weight heparin at eight hours postpartum; however, just four hours after delivery, the patient had a cardiac arrest, and it was found by imaging studies that she had a pulmonary embolism. The patient was also found to have disseminated intravascular coagulation, which led to multiorgan failure. The patient passed away two days later. Factors such as a sedentary lifestyle, short inter-pregnancy intervals, and COVID-19 infections could be taken into consideration when screening for VTE risk.

Identifiants

pubmed: 37378245
doi: 10.7759/cureus.39163
pmc: PMC10291952
doi:

Types de publication

Case Reports

Langues

eng

Pagination

e39163

Informations de copyright

Copyright © 2023, Khalifa et al.

Déclaration de conflit d'intérêts

The authors have declared that no competing interests exist.

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Auteurs

Jinan S Khalifa (JS)

Department of Obstetrics and Gynecology, Hatta Hospital, Dubai, ARE.

Anjala Nizam (A)

Medical School, Dubai Academic Health Corporation, Dubai, ARE.

Classifications MeSH