TITLE:
Bilateral Massive Pulmonary Embolism on Disseminated Intravascular Coagulation (DIVC) after Severe Postpartum Haemorrhage
AUTHORS:
P. D. Ango, B. M. Said, G. S. Irié Bi, N. Djita, K. Kone, N. Boua, J. B. Anzouan Kacou
KEYWORDS:
Pulmonary Embolism, Postpartum Hemorrhage, Disseminated Intravascular Coagulation, Thromboprophylaxis
JOURNAL NAME:
Open Journal of Anesthesiology,
Vol.8 No.3,
March
21,
2018
ABSTRACT: The authors report a case of bilateral pulmonary embolism (PE) with intermediate risk at the University Hospital center of Treichville (CHUT). This is a postpartum PE in a 37-year-old obese, multiparous woman with postpartum hemorrhage from uterine rupture after vaginal delivery initiated by injectable oxytocin. This postpartum haemorrhage was managed by massive transfusion and hysterectomy. The initiation of thromboprophylaxis was delayed in view of its coagulation record, the first 3 days. Later, the patient presented respiratory distress for which the completion of a pulmonary angioscanner made it possible to make the diagnosis of PE whose clinical evolution under heparinotherapy was favorable.