Case of ascites in pre-eclampsia

Chawla, Sushil; Kumar, PG; Bhalla, M

doi:10.1016/j.mjafi.2012.04.003

Cited by 8 publications

(10 citation statements)

References 8 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The presence of oedema and third spacing of fluid is part of the abnormal physiology of pre‐eclampsia and is felt to be caused by a reduction in plasma colloid osmotic pressure and total protein, and a relative increase in capillary pressure, and capillary leakage . The prevalence of reported ascites in the literature varies between 5% and 20% . In many studies, it was noted at the time of Caesarean section.…”

Section: Discussionmentioning

confidence: 99%

“…Surveillance, appropriate therapeutic strategies to minimise the complications of pre‐eclampsia and delivery of the foetus remain the mainstay of management. However, the presence of fluid in various body cavities has been associated with increased maternal morbidity . The prevalence of ascites in pre‐eclampsia is unknown as most of the literature is limited to case reports .…”

Section: Introductionmentioning

confidence: 99%

“…However, the presence of fluid in various body cavities has been associated with increased maternal morbidity . The prevalence of ascites in pre‐eclampsia is unknown as most of the literature is limited to case reports . Ascites may also be a marker of underlying/undiagnosed liver or kidney disease.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Point of care ultrasound: does the presence of ascites in severe pre‐eclampsia correlate with poor maternal and neonatal outcome?

Mbonyizina

Ntirushwa

Bazzett‐Matabele

et al. 2019

Tropical Med Int Health

View full text Add to dashboard Cite

objective Ascites in severe pre-eclampsia may impact foetal and maternal outcomes. The objective was to determine the prevalence of ascites in women with severe pre-eclampsia by point of care (POC) ultrasound and to determine whether it correlates with higher perinatal risks.methods Prospective cohort study of patients admitted with severe pre-eclampsia at 2 teaching hospitals in Kigali, Rwanda. Serial POC ultrasound was performed to document ascites. Patients were stratified by the presence of ascites in perinatal period. Maternal demographics and complications were recorded and compared between groups.results There were 112 patients with severe pre-eclampsia, and ascites was found in 53.5% (76.7% antepartum, and 23.3% postpartum). Antepartum ascites correlated with an earlier delivery (32.2 AE 0.51 vs. 33.8 AE 0.47 weeks, P = 0.022) as well as lower birthweight (1587.3 AE 77.03 vs. 2011.6 AE 103.5 g, P = 0.002). Antepartum ascites was associated with higher stillbirth rates (P = 0.034) and NICU admission (87.2% vs. 68%, P = 0.034). Maternal hospital stay was increased in the ascites group (P < 0.0001).conclusions Ascites is common in severe pre-eclampsia in Rwanda and maybe a prognosticator for poor outcomes. A larger sample is necessary to determine whether ascites is independently associated with maternal morbidity and mortality and whether documenting its presence aids in the management of the foetus and mother.keywords pre-eclampsia, ascites, point of care ultrasound 1018

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Point of care ultrasound: does the presence of ascites in severe pre‐eclampsia correlate with poor maternal and neonatal outcome?

Mbonyizina

Ntirushwa

Bazzett‐Matabele

et al. 2019

Tropical Med Int Health

View full text Add to dashboard Cite

show abstract

“…In our case, preeclampsia might have played a role in the formation of ascites. As a matter of fact, the development of ascites has been linked to preeclampsia in multiple published studies [ 9 , 10 ]. In the context of preeclampsia, ascites is usually due to hypoproteinemia and a low albumin/globulin gradient resulting in a low intravascular oncotic pressure [ 11 ].…”

Section: Commentmentioning

confidence: 99%

Incidental Chylous Ascites at the Time of Cesarean Section

Thompson

Khabbaz

2015

Case Reports in Obstetrics and Gynecology

View full text Add to dashboard Cite

Chylous ascites has multiple etiologies including malignancies, liver cirrhosis, intraperitoneal infections, and trauma. It is rarely reported in pregnancy. We report a case of chylous ascites noted at the time of cesarean section performed at 35 weeks of gestation on a patient with preeclampsia and suspected placental abruption. The diagnosis and treatment of chylous ascites as well as the pregnancy outcome are presented. A literature review of chylous ascites in pregnancy is discussed as well.

show abstract

“…It may lower the threshold for seizures and may predispose to maternal mortality and fetal damage 2 3. Gross ascites is a rare complication of PET and is associated with increased morbidity and mortality 4 5. Hyponatraemia is a rare complication of PET and only a few cases have been reported in the literature to date.…”

Section: Introductionmentioning

confidence: 99%

Severe hyponatraemia associated with pre-eclampsia

Anglim

Levins

Bussmann³

et al. 2016

BMJ Case Reports

View full text Add to dashboard Cite

Pre-eclampsia as a rare cause of severe hyponatraemia Isotonic sodium chloride was carefully administered. She was delivered by caesarean section at 36+1 weeks because of persistent hyponatraemia and worsening symptoms of pre-eclampsia as well as suspected acute fatty liver (ALT 1348 iu/L; NR <40 iu/L). A male infant was born (Apgar score 9 at 10 minutes)-he had mild hyponatraemia-corrected by the paediatricians. Within 24 hours of delivery, maternal hyponatraemia had improved to 133 mmol/L. This is illustrated in Figure 1. Recovery was complicated by intrapartum sepsis. She was discharged eight days later with a normal BP. Discussion Pregnancy involves physiological changes affecting water/ sodium homeostasis. However, most women with PET do not develop hyponatraemia. A recent review of 332 pregnancies complicated by PET found hyponatraemia to occur more frequently in older age and twin gestations; 2 both features were absent in our patient. However, she had features of severe pre-eclampsia, including uncontrolled hypertension and impaired hepatic function. We postulate that this was a case of hyponatraemia with hypervolaemia (excess extracellular sodium and total body water) as a result of impaired free water clearance secondary to pre-eclampsia. SIADH was discounted because of low urinary sodium and oedema. We draw attention to severe hyponatraemia as a biomarker of severe pre-eclampsia and as a rare indication for urgent delivery. This requires multidisciplinary management and continuing postpartum care to ensure favourable maternal/ neonatal outcomes.

show abstract

Case of ascites in pre-eclampsia

Abstract: locate/mjafi m e d i c a l j o u r n a l a r m e d f o r c e s i n d i a 6 8 ( 2 0 1 2 ) 2 5 7 e2 5 9

Cited by 8 publications

References 8 publications

Point of care ultrasound: does the presence of ascites in severe pre‐eclampsia correlate with poor maternal and neonatal outcome?

Point of care ultrasound: does the presence of ascites in severe pre‐eclampsia correlate with poor maternal and neonatal outcome?

Incidental Chylous Ascites at the Time of Cesarean Section

Severe hyponatraemia associated with pre-eclampsia

Contact Info

Product

Resources

About