Abdominal wall hematoma after prone ventilation during postpartum VV-ECMO: a case report and systematic review
BackgroundPregnant women with ARDS are rare in themselves, and the rare complication of an abdominal wall hematoma during VV-ECMO is extremely aggressive. We report this rare case with the aim of informing clinicians to be alert to this serious complication and to share our treatment experience.Case...
Saved in:
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Frontiers Media S.A.
2025-07-01
|
| Series: | Frontiers in Medicine |
| Subjects: | |
| Online Access: | https://www.frontiersin.org/articles/10.3389/fmed.2025.1605965/full |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| Summary: | BackgroundPregnant women with ARDS are rare in themselves, and the rare complication of an abdominal wall hematoma during VV-ECMO is extremely aggressive. We report this rare case with the aim of informing clinicians to be alert to this serious complication and to share our treatment experience.Case presentationA 42-year-old Chinese woman was infected with viral pneumonia at 26 weeks of gestation, which progressed to severe ARDS. After emergency termination of pregnancy, she was placed on VV-ECMO support and ventilated in the prone position. During this period, an unexplained drop in hemoglobin occurred, so she was withdrawn from the VV-ECMO support, and was diagnosed with an abdominal wall hematoma on CT examination, which was later cured with conservative treatment.ConclusionMaternal prone abdominal wall hematoma found during VV-ECMO is rare and prone to adverse outcomes. We remind clinicians to be aware of this rare complication and prevent it. |
|---|---|
| ISSN: | 2296-858X |