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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......
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