Author(s)

P. D. Ango^1*, B. M. Said¹, G. S. Irié Bi², N. Djita³, K. Kone¹, N. Boua¹, J. B. Anzouan Kacou⁴

¹Department of Resuscitation and Anesthesia, University Hospital Center of Treichville (CHUT), Abidjan, Côte d’Ivoire.
²Department of Resuscitation and Anesthesia, University Hospital Center of Bouaké (CHUB), Bouaké, Côte d’Ivoire.
³Department of Cardiology, Hospital Center of Alençon, Alençon, France.
⁴Abidjan Heart Institute (ICA) Head of Department of Medical Cardiology, Abidjan, Côte d’Ivoire.

The authors report a case of bilateral pulmonary embolism (PE) with intermediate risk at the University Hospital center of Treichville (CHUT). This is a postpartum PE in a 37-year-old obese, multiparous woman with postpartum hemorrhage from uterine rupture after vaginal delivery initiated by injectable oxytocin. This postpartum haemorrhage was managed by massive transfusion and hysterectomy. The initiation of thromboprophylaxis was delayed in view of its coagulation record, the first 3 days. Later, the patient presented respiratory distress for which the completion of a pulmonary angioscanner made it possible to make the diagnosis of PE whose clinical evolution under heparinotherapy was favorable.

Pulmonary Embolism, Postpartum Hemorrhage, Disseminated Intravascular Coagulation, Thromboprophylaxis

Ango, P. , Said, B. , Irié Bi, G. , Djita, N. , Kone, K. , Boua, N. and Kacou, J. (2018) Bilateral Massive Pulmonary Embolism on Disseminated Intravascular Coagulation (DIVC) after Severe Postpartum Haemorrhage. Open Journal of Anesthesiology, 8, 85-92. doi: 10.4236/ojanes.2018.83009.