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Acute Postpartum Respiratory Distress With Right Ventricular Dysfunction Complicating Into Postpartum Cardiomyopathy: A Case of Suspected Atypical Amniotic Fluid Embolism

Muchunguzi A, Sangey E, Chipongo H, Awadh N, Ramaiya K

Clinical case reports, 2026

Abstract

Amniotic fluid embolism (AFE) is a devastating and unpredictable obstetric emergency typically characterized by sudden cardiopulmonary collapse and coagulopathy during or shortly after delivery. It is triggered by an anaphylactoid-histamine-mediated systemic response, evidently with no available confirmatory tests in living patients. The diagnosis is primarily clinical, supported by imaging and exclusion of mimics.

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