Septic embolism of small branches of the pulmonaryartery in the postoperative period in a postpartum woman (clinical observation)

Abstract

Septic complications in obstetric practice are the most important cause of maternal mortality and pregnancy complications; they account for about 15 % of the structure of maternal mortality in the world. It is likely that the incidence of sepsis during pregnancy is estimated inaccurately, which is due to both the provision of an insufficient number of reports and the not always correct interpretation of the clinical picture of the disease. A rare complication of a septic condition in the postpartum period in the form of embolism of small branches of the pulmonary artery indicates a variety of causative infections and risk factors, features of vital functions during pregnancy, features of diagnosis and therapy, as well as insufficient knowledge of the obstetric population regarding various factors of septic complications. The presented rare clinical case of successful treatment of septic embolism in a postoperative woman was analyzed, the main factors leading to this complication were identified, and markers of the complication and the main pathogenetic stages of intensive care were identified. Timely initiation of pathogenetically justified intensive therapy leads to successful treatment of patients with sepsis and septic thromboembolism.