There are two types of amniotic fluid embolism (AFE) :cardiopulmonary collapse and atonic bleeding with disseminated intravascular coagulation. We experienced a case with amniotic fluid embolism (atonic bleeding with DIC type). A 42-y.o. parturient underwent cesarean section due to progressive PIH. We chose CSEA for cesarean section. Unexpected atonic bleeding occurred, which we diagnosed as AFE and treated with massive blood transfusion. Hysterectomy was not necessary. On the second day after operation the patient developed pulmonary edema and was admitted to the ICU. We should be aware of the potential for cytokine storms after early successful treatment of AFE.
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