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Erschienen in: Wiener Medizinische Wochenschrift 3-4/2023

21.12.2021 | Case report

Sudden death of a pregnant woman because of massive aspiration—case report and review of literature

verfasst von: Dubravko Habek, Anis Cerovac, Jasna Čerkez Habek, Jasna Begić, Elmedina Cerovac

Erschienen in: Wiener Medizinische Wochenschrift | Ausgabe 3-4/2023

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Summary

Introduction

Massive aspiration of gastric contents as a cause of death in pregnancy without anesthesia is possible, but is not documented in the available literature as a separate case report.

Aim

To describe sudden death of a pregnant woman because of massive aspiration of gastric contents.

Case report

The presence of a valvular anomaly in a 26-year-old woman had been known since childhood: the prolapse of both mitral cusps. In the 34th week of her second pregnancy, after dinner, she went to take a shower when she collapsed with abundant vomiting of stomach contents. The ambulance came in 20 min and started a resuscitation procedure which was unsuccessful, and the death of the pregnant woman was established in the 34th week of pregnancy. Autopsy revealed massive aspiration of gastric contents into the trachea and bronchi, pulmonary edema, and generalized cyanosis. Left ventricular dilatation was found in the heart, with prolapse of both mitral valve cusps.

Conclusion

Sudden deaths in pregnancy are rare and dramatic conditions in emergency medicine. Cardiac checkups are very important for pregnant women with heart failures or heart anomalies, and must be recommended by gynecologists.
Literatur
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Zurück zum Zitat Adams AP, Morgan M, Jones BC, McCormick W. A case of massive aspiration of gastric contents during obstetric anasesthesia. Treatment by tracheostomy and prolonged intermittent positive pressure ventilation. Br J Anaesth. 1969;41:176.CrossRefPubMed Adams AP, Morgan M, Jones BC, McCormick W. A case of massive aspiration of gastric contents during obstetric anasesthesia. Treatment by tracheostomy and prolonged intermittent positive pressure ventilation. Br J Anaesth. 1969;41:176.CrossRefPubMed
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Metadaten
Titel
Sudden death of a pregnant woman because of massive aspiration—case report and review of literature
verfasst von
Dubravko Habek
Anis Cerovac
Jasna Čerkez Habek
Jasna Begić
Elmedina Cerovac
Publikationsdatum
21.12.2021
Verlag
Springer Vienna
Erschienen in
Wiener Medizinische Wochenschrift / Ausgabe 3-4/2023
Print ISSN: 0043-5341
Elektronische ISSN: 1563-258X
DOI
https://doi.org/10.1007/s10354-021-00899-7

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