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Background <p>Amniotic fluid embolism (AFE) is an obstetric emergency with a low incidence but high mortality rate. Intra-abdominal haemorrhage following AFE is frequently attributed to disseminated intravascular coagulation (DIC).</p> Case presentation <p>We report a case of persistent intra-abdominal haemorrhage following hysterectomy for AFE, ultimately diagnosed as hepatic rupture and successfully managed with left-lobe partial hepatectomy.</p> Discussion and conclusions <p>Early diagnosis and management of AFE complicated by hepatic rupture and haemorrhage present significant challenges. This case provides reference for the diagnosis and treatment of similar future presentations.</p>

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Amniotic fluid embolism with liver rupture: a case report

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2026年4月23日

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  • Haixia Jiang,
  • Limei Wu,
  • Yingxue Bai,
  • Xuelian Tan,
  • Meilian Chen

摘要

Background

Amniotic fluid embolism (AFE) is an obstetric emergency with a low incidence but high mortality rate. Intra-abdominal haemorrhage following AFE is frequently attributed to disseminated intravascular coagulation (DIC).

Case presentation

We report a case of persistent intra-abdominal haemorrhage following hysterectomy for AFE, ultimately diagnosed as hepatic rupture and successfully managed with left-lobe partial hepatectomy.

Discussion and conclusions

Early diagnosis and management of AFE complicated by hepatic rupture and haemorrhage present significant challenges. This case provides reference for the diagnosis and treatment of similar future presentations.