title: Massive Ascites and Pleural Effusion in Preeclampsia.
abstract: Preeclampsia is defined as new onset hypertension and proteinuria after 20 weeks of gestation and complicates approximately 2-8% of all pregnancies. Release of vasoconstrictive agents, endothelial damage, hyperpermeability of the capillaries and microangiopathic haemolysis involves the basic pathophysiology. It has variable clinical presentation. Here, we report a case of severe preeclampsia who developed postpartum massive ascites and pleural effusion. Primigravid patient was admitted to our clinic at 35 weeks of gestation with very high blood pressure. In biochemical analysis, Alanine aminotransferase (ALT) was 401 U/L, Aspartate aminotransferase (AST) was 292 U/L. An emergency caesarean section was performed because of fetal distress. On the 2ndpost-operative day, abdominal distension and severe abdominal pain occurred. On the 3rdpost-operative day, her abdominal distension increased and Ultrasonography (USG) revealed massive ascites. Abdominal drainage was performed and albumin infusion was administered. On postoperative day 4, she still had abdominal distension and concomitant respiratory distress. Computed Tomography (CT) showed ascites and bilateral pleural effusion. Her complaint regressed on the following days.
authors.affiliation: Medical Doctor, Department of Obstetrics and Gynaecology, Mugla Sitki Kocman Training and Research Hospital , Mugla, Mentese, Turkey .
authors.forename: Sezen Bozkurt
authors.initials: SB
authors.lastname: Koseoglu
authors.affiliation: Associate Professor, Department of Obstetrics and Gynaecology, Mugla Sitki Kocman Training and Research Hospital , Mugla, Mentese, Turkey .
authors.forename: Ruya
authors.initials: R
authors.lastname: Deveer
authors.affiliation: Assistant Professor, Department of Obstetrics and Gynaecology, Mugla Sitki Kocman Training and Research Hospital , Mugla, Mentese, Turkey .
authors.forename: Aysun
authors.initials: A
authors.lastname: Camuzcuoglu
authors.affiliation: Assistant Professor, Department of Obstetrics and Gynaecology, Mugla Sitki Kocman Training and Research Hospital , Mugla, Mentese, Turkey .
authors.forename: Burcu
authors.initials: B
authors.lastname: Kasap
authors.affiliation: Professor, Department of Obstetrics and Gynaecology, Mugla Sitki Kocman Training and Research Hospital , Mugla, Mentese, Turkey .
authors.forename: Hakan
authors.initials: H
authors.lastname: Camuzcuoglu
keywords: Hypertension; Peritoneal effusion; Pregnancy