DOI: http://dx.doi.org/10.18203/2320-1770.ijrcog20213499

Presentation of acute pulmonary edema in severe pre-eclamptic pregnant women: a case report

Karishma Chaudhary, Mamta Tyagi, Smriti Gupta, Manvi Gupta, Yamini Verma, Kanishka Yadav

Abstract


Pulmonary edema refers to an excessive accumulation of fluid in the pulmonary interstitial and alveolar spaces. It may occur in low risk pregnancies but one very important predisposing factor is association with pre-eclampsia. Acute pulmonary edema during pregnancy is very rare and occurs in 0.08% pregnancies. About 3% of severe pre-eclamptic patients develop acute pulmonary edema. Several risk factors have been identified: preeclampsia or eclampsia, use of tocolytic therapy, severe infection, cardiac disease, iatrogenic fluid overload, and multiple gestations. This case examines one such presentation and reviews some of the diagnostic possibilities.

Keywords


Pregnancy, Severe pre-eclampsia, Acute pulmonary edema, Acute pulmonary edema in pre-eclampsia, Emergency cesarean section, Complications in pregnancy

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References


Sciscione AC, Ivester T, Largoza M, Manley J, Shlossman P, Colmorgen GH. Acute pulmonary edema in pregnancy. Obstet Gynecol. 2003;101(3):511-5.

Sibai BM, Mabie BC, Harvey CJ, Gonzalez AR. Pulmonary edema in severe preeclampsia-eclampsia: analysis of thirty-seven consecutive cases. Am J Obstet Gynecol. 1987;156(5):1174-9.

Baxter JK, Weinstein L. HELLP syndrome: the state of the art. Obstet Gynecol Surv. 2004;59(12):838-45.

Dusse LM, Alpoim PN, Silva JT, Rios DR, Brandão AH, Cabral AC. Revisiting HELLP syndrome. Clin Chim Acta. 2015;451:117-20.

Genest G, Spitzer KA, Laskin CA. Maternal and Fetal Outcomes in a Cohort of Patients Exposed to Tumor Necrosis Factor Inhibitors throughout Pregnancy. J Rheumatol. 2018;45(8):1109-15.

Berne R, Levy M. Cardiovascular Physiology. 1st ed. St. Louis: Mosby Year Book; 1992.