[Water-electrolyte abnormalities during pregnancy: maternal and fetal complications (about a case)].
Water-electrolyte abnormalities while pregnancy or for infant are very serious. We present a case of a woman at 26 weeks who had gestation pernicious vomiting that led to major extracellular dehydration, water intoxication and acute renal insufficiency. The etiology was a volvulus on common mesentery. Hyperemesis disappeared thanks to surgical treatment. The mother and her fetus would later present serious complications due to the water-electrolyte imbalance correction. The fetus suffered from cerebral hemorrhage and subdural hematoma subordinate to brain edema resorption. The mother presented centropontine myelinolysis. The treatment of electrolyte abnormalities during pregnancy could lead to serious complications for the mother and fatal for the foetus.
Guillibert
F
F
Service de gynécologie-obstétrique, CHU de Saint-Etienne, hôpital Nord, Saint-Etienne cedex 2, France. fguillibert@club-internet.fr
Varlet
M-N
MN
Hammel
B
B
Varlet
F
F
Billiemaz
K
K
Baccot
S
S
Seffert
P
P
Chauleur
C
C
D000328:Adult; D002543:Cerebral Hemorrhage / Q000175:diagnosis / Q000453:epidemiology* / Q000209:etiology; D005260:Female; D005315:Fetal Diseases / Q000175:diagnosis / Q000453:epidemiology* / Q000209:etiology; D006408:Hematoma, Subdural / Q000175:diagnosis / Q000453:epidemiology* / Q000209:etiology; D006801:Humans; D007231:Infant, Newborn; D045822:Intestinal Volvulus / Q000150:complications; D011247:Pregnancy; D011248:Pregnancy Complications; D011256:Pregnancy Outcome; D014883:Water-Electrolyte Imbalance / Q000503:physiopathology*