tailieunhanh - Báo cáo y học: "Transient early preeclampsia in twin pregnancy with a triploid fetus: a case report"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Transient early preeclampsia in twin pregnancy with a triploid fetus: a case report | JOURNAL OF MEDICAL ir CASE REPORTS Open Access Case report Transient early preeclampsia in twin pregnancy with a triploid fetus a case report Clasien van der Houwen1 Tineke Schukken1 2 and Marielle van Pampus2 Address Department of Obstetrics and Gynecology Tjongerschans Hospital Heerenveen Thialfweg 8441 PW Heerenveen The Netherlands and 2Department of Obstetrics and Gynecology University Medical Centre 9700 RB Groningen The Netherlands Email CvdH - clasienvdhouwen@ TS - MvP - Corresponding author Published 26 May 2009 Received 3 April 2008 Journal of Medical Case Reports 2009 3 7311 doi 1752-1947-3-7311 Accepted 23 January 2009 This article is available from http jmedicalcasereports article view 7311 2009 van der Houwen et al licensee Cases Network Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License http licenses by which permits unrestricted use distribution and reproduction in any medium provided the original work is properly cited. Abstract Introduction Triploid pregnancies have an increased risk of early preeclampsia. Twin pregnancies consisting of one healthy fetus and one complete or partial molar with or without a triploid fetus are rare and management is complex. Case presentation A 33-year-old Caucasian woman presented with a dichorionic diamniotic twin pregnancy. One fetus showed early growth restriction resulting in fetal death at 20 weeks. The placenta was enlarged with some cysts. Chorionic villus biopsy confirmed triploidy. At 21 weeks the patient developed preeclampsia with a blood pressure of 154 98 mmHg and proteinuria 24 hour protein excretion of g L for which she was hospitalized. Without pharmacological interventions the blood pressure normalized and proteinuria disappeared. At 35 weeks she again developed preeclampsia. A cesarean section was performed at 38 weeks and

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