Intrauterine air embolism associated with a rectovaginal fistula in a pregnant woman.

Abstract:

BACKGROUND:Previous case reports have reported maternal and fetal mortality in pregnancies complicated by air emboli induced by various mechanisms. CASE:A 33-year-old multiparous woman with a known rectovaginal fistula presented with symptoms of placental abruption. She subsequently was found to have a large intrauterine air embolus. The patient was treated successfully to term by continuously draining the vaginal air with a Malecot catheter. CONCLUSION:We describe a rare case of an intrauterine air embolism during pregnancy caused by a rectovaginal fistula. Prompt recognition of air within the uterine myometrium and subchorionic space during ultrasonography led to the diagnosis and successful treatment of a potentially fatal complication by using an intravaginal Malecot catheter to release the trapped air.

journal_name

Obstet Gynecol

authors

Hoppe KK,Fialkow MF,Dighe M,Cheng E

doi

10.1097/AOG.0b013e31821fcdb2

subject

Has Abstract

pub_date

2011-08-01 00:00:00

pages

481-484

issue

2 Pt 2

eissn

0029-7844

issn

1873-233X

pii

00006250-201108001-00025

journal_volume

118

pub_type

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