Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Chest computed tomography of a patient revealing severe hypoxia due to amniotic fluid embolism: a case report. | Imanaka et al. Journal of Medical Case Reports 2010 4 55 http content 4 1 55 jAc JOURNALOF medical ÌỤr case REPORTS CASE REPORT Open Access Chest computed tomography of a patient revealing severe hypoxia due to amniotic fluid embolism a case report Hideaki Imanaka Bunji Takahara Harutaka Yamaguchi Emiko Nakataki Akiko Mano Daisuke Inui Jun Oto Masaji Nishimura Abstract Introduction Amniotic fluid embolism is one of the most severe complications in the peripartum period. Because its onset is abrupt and fulminant it is unlikely that there will be time to examine the condition using thoracic computed tomography CT . We report a case of life-threatening amniotic fluid embolism where chest CT in the acute phase was obtained. Case presentation A 22-year-old Asian Japanese primiparous woman was suspected of having an amniotic fluid embolism. After a Cesarean section for cephalopelvic disproportion her respiratory condition deteriorated. Her chest CT images were examined. CT findings revealed diffuse homogeneous ground-glass shadow in her bilateral peripheral lung fields. She was therefore transferred to our hospital. On admission to our hospital s intensive care unit she was found to have severe hypoxemia with SpO2 of 50 with a reservoir mask of 15 L min oxygen. She was intubated with the support of noninvasive positive pressure ventilation. She was successfully extubated on the sixth day and discharged from the hospital on the twentieth day. Conclusion This is the first case report describing amniotic fluid embolism in which CT revealed an acute respiratory distress syndrome-like shadow. Introduction Amniotic fluid embolism is one of the most severe complications in the peripartum period 1 2 . It is a rare but catastrophic illness with a high mortality rate. The onset is abrupt and fulminant and there is no time to examine chest computed tomography CT images. However in this case we had an opportunity to obtain a CT of a patient with suspected
