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Reading: Postpartum Catastrophic Anti-Phospholipid Syndrome

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Case Reports

Postpartum Catastrophic Anti-Phospholipid Syndrome

Authors:

Edirisooriya Manoj ,

National Hospital of Sri Lanka., LK
About Edirisooriya
Senior Registrar in Critical Care, National Hospital of Sri Lanka.
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Priyankara Dilshan,

National Hospital of Sri Lanka., LK
About Priyankara
Senior Registrar in Critical Care, National Hospital of Sri Lanka
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Dhanushka Rangana Liyanagunawardana,

National Hospital of Sri Lanka., LK
About Dhanushka
Senior Registrar in Anaesthesia, National Hospital of Sri Lanka.
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Saroja Jayasinghe

De Zoysa Maternity Hospital for Women Sri Lanka., LK
About Saroja
Consultant Anaesthetist, De Zoysa Maternity Hospital for Women,
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Abstract

Multi-organ dysfunction during peripartum period in the background of anti-phospholipid syndrome (APS) poses a tremendous diagnostic dilemma leading to extremely high morbidity and mortality. We present a diagnosed APS case of 29 year old multigravida, who was admitted to intensive care unit with post-partum pulmonary edema, severe thrombocytopenia, paralytic ileus, hepatic and splenic infarcts, status epilepticus and lower limb venous thrombosis despite being on prophylactic anticoagulation. She recovered after treatment with escalating doses of prednisolone, antiepileptics, mechanical ventilator support with muscle paralysis and therapeutic plasma exchange (TPE).This case highlights the utmost importance of awareness, high degree of suspicion and prompt adoption of appropriate supportive treatment to achieve a favourable outcome in catastrophic anti phospholipid syndrome (CAPS).

How to Cite: Manoj, E. et al., (2015). Postpartum Catastrophic Anti-Phospholipid Syndrome. Sri Lankan Journal of Anaesthesiology. 23(2), pp.83–85. DOI: http://doi.org/10.4038/slja.v23i2.8087
Published on 22 Jul 2015.
Peer Reviewed

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