Marked gestational edema as a clinical sign of life‐threatening condition

A 35‐year‐old Japanese nulliparous woman exhibited rapid weight gain (6 kg/7 days), reduced antithrombin activity and platelet count at 37 weeks of gestation without hypertension or proteinuria, and underwent cesarean section. Postnatally, pulmonary edema developed for 7 days, with transient hyperte...

Full description

Saved in:
Bibliographic Details
Published inThe journal of obstetrics and gynaecology research Vol. 36; no. 4; pp. 861 - 865
Main Authors Koyama, Takahiro, Yamada, Takashi, Morikawa, Mamoru, Tanaka, Rieko, Yamamura, Mie, Araki, Naoto, Yamada, Takahiro, Shimada, Shigeki, Minakami, Hisanori
Format Journal Article
LanguageEnglish
Published Melbourne, Australia Blackwell Publishing Asia 01.08.2010
Subjects
Adult
antithrombin
Cesarean Section
edema
Edema - diagnosis
Female
Humans
platelet count
Pre-Eclampsia - diagnosis
Pregnancy
pre‐eclampsia
Proteinuria - diagnosis
pulmonary edema
Online AccessGet full text

Cover

More Information
Summary:A 35‐year‐old Japanese nulliparous woman exhibited rapid weight gain (6 kg/7 days), reduced antithrombin activity and platelet count at 37 weeks of gestation without hypertension or proteinuria, and underwent cesarean section. Postnatally, pulmonary edema developed for 7 days, with transient hypertension and proteinuria, and bodyweight loss (14.6 kg) by 14 days postpartum. Platelet count and antithrombin activity normalized promptly postpartum. Despite a life‐threatening clinical condition due to enhanced vascular permeability, neither hypertension nor proteinuria appeared antenatally. Determining antithrombin activity and platelet count may be useful for distinguishing between women with pathological edema and physiological edema.
Bibliography:ObjectType-Case Study-2
SourceType-Scholarly Journals-1
ObjectType-Feature-4
content type line 23
ObjectType-Report-1
ObjectType-Article-3
ISSN:1341-8076
1447-0756
DOI:10.1111/j.1447-0756.2010.01191.x