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2013, Number 3

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Finlay 2013; 3 (3)

Hydrops fetalis in a pregnant woman with severe hypertensive disease. A Case Report

Rodríguez MM, Mengana FLI, Urrutia CM
Full text How to cite this article

Language: Spanish
References: 9
Page: 198-201
PDF size: 129.18 Kb.


Key words:

hydrops fetalis, hypertension pregnancy-induced, case reports.

ABSTRACT

A case of non-immune hydrops fetalis in a 20-year old white female with severe hypertensive disease is presented. Her condition was diagnosed by ultrasound for the assessment of the fetal well-being at 35.1 weeks of gestation, when she was referred from her health area due to blood pressure levels of 160/100 mmHg. On her arrival at the Obstetrics and Gynecology emergency department of the Héroes de Baire Hospital in the Isle of Youth, she had blood pressure levels of 140/90 mmHg and was asymptomatic. Thus, her admission was determined for further studies and treatment. After considering the physical examination and the results of the obstetric ultrasound, it was decided to terminate her pregnancy by emergency caesarean section. A preterm newborn with malformations was delivered. This case is presented due to the rarity of this pathology associated with a severe hypertensive disease which increases the perinatal risks.


REFERENCES

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  3. Bukowski R, Saade GR. Hydrops fetalis. Clin Perinatol. 2000 ; 27 (4): 1007-31.

  4. Holzgreve W, Curry Jr. Nonimmune hydrops fetalis: diagnosis and management. Semin

  5. Abrams ME, Meredith KS, Kinnard P, Clark RH. Hydrops fetalis: a retrospective review of cases reported to a large national database and identification of risk factors associated with death. Pediatrics. 2007 ; 120 (1): 84-9.

  6. Jenderny J, Schmidt W, Hecher K, Hackelöer BJ, Kerber S, Kochhan L, et al. Increased nuchal translucency, hydrops fetalis or hygroma colli. A new test strategy for early fetal aneuploidy detection. Fetal Diagn Ther. 2001 ; 16 (4): 211-4.

  7. Gedikbasi A, Gul A, Sargin A, Ceylan Y. Cystic hygroma and lymphangioma: associated findings, perinatal outcome and prognostic factors in live-born infants. Arch Gynecol Obstet. 2007 ; 276 (5): 491-8.

  8. Bianchi D, Crombleholme T, D’ Alton M, Malone F. Fetology. Diagnosis and Management of Fetal Patient. 2nd. ed. New York: Mc Graw-Hill; 2009.

  9. Sahakian V, Weiner CP, Naides SJ, Williamsom RA, Sharosch LL. Intrauterine transfusion treatment of non immune hydrops fetalis secondary to human parvovirus b19 infection. Am J Obstet Gynecol. 1991 ; 164 (4): 1090-1.




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