Meneses CJ, González CNP, Gutiérrez MH, Morales GR, Briones GJC

Language: Spanish
References: 21
Page: 248-253
PDF size: 119.65 Kb.

ABSTRACT

We report a case of a 28 years old woman with diagnosis of HIMT associated to preeclampsia with a catastrophic evolution. She had a history of early symptoms since the first prenatal consultation, such as headache, fosfeno and tinnitus, but not intentional follow up was performed. On the 39th week of pregnancy she had increased headache, epigastric pain, unconscious state, severe hypertension, tonic-clonic seizures, respiratory insufficiency that was treated with orotracheal intubation and ventilatory support, gingivorrage and epistaxis, associated to low platelets count, hemolysis, and elevated liver enzymes. She had placental abruption and obitus, a subtotal hysterectomy was performed, and post surgery evolution was complicated with multiple organ failure: renal failure, ARDS, disseminated intravascular coagulation, myocardial depression because of sepsis, hepatic failure, metabolic and gastrointestinal dysfunction. She was released from ICU after 43 days, on stable condition without organic failures. The HIMT is associated to preeclampsia in 4% to 12% of cases; it is important to do an early diagnose a treatment in order to decrease morbidity and mortality and to avoid a catastrophic evolution on the mother and fetus.

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