|Severe Hyponatremia and Ascites Associated With Preeclampsia|
|Sarah Ghazali1, Mayasem Al-Domyati2|
|1Department of Obstetrics and Gynecology, King Abdulaziz University, Jeddah, Saudi Arabia
2Medical intern, King Abdulaziz University, Jeddah, Saudi Arabia
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Keywords : Preeclampsia, hyponatremia, ascites, hypoalbuminemia
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Hyponatremia and ascites are rare findings in preeclampsia and have been suggested to be a feature of severity and associated with adverse pregnancy outcomes. The presence of both with preeclampsia was reported once in the literature. We report the second case to our knowledge of Preeclampsia with hyponatremia and ascites, and the first case of recurrent ascites with preeclampsia.
A 29-year-old Gravida 2 Para 1 was admitted with early onset preeclampsia at 26 weeks gestation. Admission labs showed severe hyponatremia. An ultrasound showed significant maternal ascites and a growth restricted fetus with abnormal umbilical artery Dopplers. Few days later the patient developed oliguria and had a cesarean section. The maternal hyponatremia corrected post partum and the ascites had completely resolved in her post partum visit. Neonatal hyponatremia was also noted. The exact pathophysiology of these findings is unknown. Nephrotic syndrome with hypoalbuminemia may be the contributing factor.
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