Massive ascites and bilateral pleural effusion causing respiratory embarrassment in a postnatal case of severe preeclampsia

Kumar, Rakesh; Dey, Madhusudan

doi:10.1016/j.mjafi.2012.08.025

Cited by 6 publications

(7 citation statements)

References 6 publications

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“…We found that the incidence of retinal detachment was higher in the massive proteinuria group. Pleural effusion in preeclampsia results from low colloid osmotic pressure [ 21 ]. In our study, the incidence of pleural effusion was high in the massive proteinuria group that also had a low colloid osmotic pressure.…”

Section: Discussionmentioning

confidence: 99%

Is massive proteinuria associated with maternal and fetal morbidities in preeclampsia?

Kim

Jung

et al. 2017

Obstet Gynecol Sci

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ObjectiveThe aim of this study was to investigate whether massive proteinuria in preeclampsia is associated with maternal and fetal complications.MethodsWe retrospectively analyzed the clinical records of 233 patients who were diagnosed with preeclampsia. We divided the preeclamptic patients into three groups based on the amount of proteinuria: massive (≥5 g/24 hr), moderate (2 to 5 g/24 hr) and mild (<2 g/24 hr) proteinuria group. We analyzed the clinical characteristics and maternal and neonatal complications among three groups.ResultsGestational age at diagnosis and delivery were lower in women with massive and moderate proteinuria group than women with mild proteinuria group (31.5±3.1 vs. 32.3±3.6 vs. 34.0±3.5 weeks, P<0.001 for gestational weeks at diagnosis; 34.6±3.6 vs. 35.1±4.1 vs. 36.9±4.0 weeks, P=0.001 for gestational age at delivery). In maternal complications, the incidences of pleural effusion and retinal detachment were significantly different among three groups (29.9% vs. 22.4% vs. 9.0%, P=0.004 for pleural effusion; 11.5% vs. 3.0% vs. 1.3%, P=0.009 for retinal detachment). Creatinine levels were higher and albumin levels were lower in the massive proteinuria group than in the moderate and mild groups. However, other maternal and neonatal complications were not significantly different among three groups.ConclusionMassive proteinuria might be associated with renal albumin excretion-related morbidity, such as pleural effusion, retinal detachment, and low serum albumin levels. Furthermore, it was associated with early-onset preeclampsia and early delivery.

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Section: Discussionmentioning

confidence: 99%

Is massive proteinuria associated with maternal and fetal morbidities in preeclampsia?

Kim

Jung

et al. 2017

Obstet Gynecol Sci

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“…Possible mechanisms surrounding the presence of vulvar edema in pregnant women with hypertension, with (as in our case) or without ascites, are mainly represents by increased vascular permeability with low albumin plasma levels [5,6,7]. Indeed, hypoalbuminemia is a common manifestation in pregnancy induced hypertension and occurs mainly due to systemic small size vessel spasm, activation of rennin secreting cells with later increased secretion of angiotensin and damaged and increased permeability of vascular endothelial cells, thereby leading to a large number of other proteins and liquid leaking in tissue clearance resulting in intravascular dehydration [4,8].…”

Section: Discussionmentioning

confidence: 77%

Massive Vulvar Edema Complicating a Severe Preeclampsia with Intrauterine Fetal Death

Endomba¹,

Nkeck²

2017

Gynecol Obstet

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Gestational hypertensive diseases, including preeclampsia, are frequently associated to a poor prognosis when they are severe, with maternal or fetal death, and especially in low resource settings. Early recognition of severity signs can help to prevent maternal and/or fetal complications. Aside classically described signs, some others, such as vulvar edema, have been put in light through case reports and case series. Here we describe the case of a Cameroonian pregnant woman, who presented severe preeclampsia with massive vulvar edema.

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“…Si bien la relación entre ascitis y preeclampsia es conocida, el reporte de ascitis masiva en la enfermedad hipertensiva del embarazo es mucho menos frecuente. [6][7][8][9] La palabra disfagia significa etimológicamente «dificultad o sensación de malestar al comer». 11 El estudio de la disfagia puede realizarse dependiendo de sus múltiples etiologías.…”

Section: Wwwmedigraphicorgmxunclassified

“…16 La descripción de ascitis masiva complicando la enfermedad hipertensiva del embarazo, proviene en su mayoría de reportes de caso. [4][5][6][7][8]…”

Section: Epidemiología De Ascitis En El Embarazounclassified

“…La ascitis se define como la acumulación de más de 25 cm 3 de líquido en la cavidad peritoneal. 3 El término ascitis masiva existe dentro de la literatura [4][5][6][7][8][9] y aunque no hay una definición universalmente aceptada, algunos autores la explican como la presencia de 2,000 cm 3 de líquido en cavidad o más. [6][7][8][9] Esta definición es arbitraria, ya que 2,000 cm 3 podrían no causar síntomas en un paciente de talla alta, mientras que 1,000 cm 3 podrían causar muchas complicaciones en pacientes de talla baja.…”

Section: Introductionunclassified

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Disfagia secundaria a ascitis en preeclampsia con criterios de severidad

Regalado¹,

Camacho²,

Rolón³

2022

Medicina Crítica

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RESUMENIntroducción: la preeclampsia es una de las mayores causas de mortalidad y morbilidad materna en México. Sus características clínicas son diversas, y algunas infrecuentes, entre ellas el desarrollo de ascitis. Cuando se presenta, puede repercutir de manera negativa en el curso clínico y el pronóstico del embarazo. La disfagia secundaria a ascitis en preeclampsia ha sido descrita con poca frecuencia en la literatura. Objetivo: documentar un caso de disfagia como síntoma principal que motivó a buscar atención médica en una paciente con ascitis abdominal secundaria a preeclampsia con criterios de severidad. Se realiza una revisión de la fisiopatogenia de la ascitis durante la gestación y su posible relación con el desarrollo de disfagia. Caso clínico: mujer de 29 años y 36 semanas de gestación con diagnóstico previo de una semana de preeclampsia con criterios de severidad en seguimiento por consulta externa. Ingresa por disfagia a sólidos y líquidos. Se realizó interrupción quirúrgica del embarazo, reportándose 800 cm 3 de líquido de ascitis como hallazgo. La disfagia se resolvió pocas horas tras el acto quirúrgico. Conclusiones: la atención de pacientes obstétricas con preeclampsia debe ser minuciosa. Los médicos a cargo de estas pacientes deben conocer las manifestaciones infrecuentes de esta enfermedad (como el posible desarrollo de ascitis) para lograr un diagnóstico y tratamiento oportunos.

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Massive ascites and bilateral pleural effusion causing respiratory embarrassment in a postnatal case of severe preeclampsia

Cited by 6 publications

References 6 publications

Is massive proteinuria associated with maternal and fetal morbidities in preeclampsia?

Is massive proteinuria associated with maternal and fetal morbidities in preeclampsia?

Massive Vulvar Edema Complicating a Severe Preeclampsia with Intrauterine Fetal Death

Disfagia secundaria a ascitis en preeclampsia con criterios de severidad

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