Near Miss: Disseminated Intravascular Coagulation with Acute Renal Failure and Sepsis.

Aim and background: Maternal mortality is one of the nightmares for obstetricians and also for the patient's family. There are many causes, but disseminated intravascular coagulation (DIC) with acute renal failure is one of the challenging cases, which requires a multidisciplinary approach. Case description: A 29-year-old second para patient with two live births, was presented in the emergency department with septic shock and DIC. She had gross hemoperitoneum with massive rectus sheath hematoma. Initially her blood pressure was stabilized by giving blood products and supportive treatment. As soon as her blood pressure became stable, she underwent computed tomographic angiography-guided embolization of right inferior epigastric artery. After 24 hours of embolization, she underwent laparotomy for abdominal compartment syndrome. Conclusion: Although primary treatment of DIC is to treat underlying cause, but transarterial embolization in addition to primary treatment, is also equally effective in controlling the on-going bleeding which in turn results in DIC. Clinical significance: Maternal mortality represents health state of a country and one should try to be safe as many near miss as possible with a multidisciplinary approach. [ABSTRACT FROM AUTHOR]