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VOLUME 15 , ISSUE 6 ( November-December, 2023 ) > List of Articles

CASE REPORT

Near Miss: Disseminated Intravascular Coagulation with Acute Renal Failure and Sepsis

Sakshi Nanda, Nitin Wadaskar, Mohammad Zuber

Keywords : Case report, Computed tomography, Disseminated intravascular coagulation, Hemoperitoneum, Maternal mortality, Transarterial embolization

Citation Information : Nanda S, Wadaskar N, Zuber M. Near Miss: Disseminated Intravascular Coagulation with Acute Renal Failure and Sepsis. J South Asian Feder Obs Gynae 2023; 15 (6):734-736.

DOI: 10.5005/jp-journals-10006-2333

License: CC BY-NC 4.0

Published Online: 04-12-2023

Copyright Statement:  Copyright © 2023; The Author(s).


Abstract

Aim and background: Maternal mortality is one of the nightmares for obstetricians and also for the patient's family. There are many causes, but disseminated intravascular coagulation (DIC) with acute renal failure is one of the challenging cases, which requires a multidisciplinary approach. Case description: A 29-year-old second para patient with two live births, was presented in the emergency department with septic shock and DIC. She had gross hemoperitoneum with massive rectus sheath hematoma. Initially her blood pressure was stabilized by giving blood products and supportive treatment. As soon as her blood pressure became stable, she underwent computed tomographic angiography-guided embolization of right inferior epigastric artery. After 24 hours of embolization, she underwent laparotomy for abdominal compartment syndrome. Conclusion: Although primary treatment of DIC is to treat underlying cause, but transarterial embolization in addition to primary treatment, is also equally effective in controlling the on-going bleeding which in turn results in DIC. Clinical significance: Maternal mortality represents health state of a country and one should try to be safe as many near miss as possible with a multidisciplinary approach.

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  1. Patwardhan M, Eckert LO, Spiegel H, et al. Brighton collaboration maternal death working group. Maternal death: Case definition and guidelines for data collection, analysis, and presentation of immunization safety data. Vaccine 2016;34(49):6077–6083. DOI: 10.1016/j.vaccine.2016.03.042.
  2. Meh C, Sharma A, Ram U, et al. Trends in maternal mortality in India over two decades in nationally representative surveys. BJOG 2022;129(4):550–561. DOI: 10.1111/1471-0528.16888.
  3. Erez O, Othman M, Rabinovich A, et al. DIC in pregnancy – pathophysiology, clinical characteristics, diagnostic scores and treatments. J Blood Med 2022;13:21–44. DOI: 10.2147/JBM.S273047.
  4. Zhao Z, Zhang J, Li N, et al. Disseminated intravascular coagulation associated organ failure in obstetric patients admitted to intensive care units: A multicentre study in China. Sci Rep 2021;11(1):6379. DOI: 10.1038/s41598-021-95841-7.
  5. Ko SY, Park SW, Sohn IS, et al. Interventional management for complications following caesarean section. Br J Radiol 2011; 84(999):204–209. DOI: 10.1259/bjr/53617758.
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